Medication safety also includes alerts and reminders as appropriate to the patient’s condition or to the medications or treatments being ordered. Preprinted orders offer a low cost and simple-to-implement opportunity to affect the functional organization of the health care process, quality of care, and ultimately, patient outcome.Ĭommon concerns regarding safety and medication orders. We offer ideas about applying elements and concepts of computerized clinical decision-support systems to paper-based models and considering application of paper-based order structures and criteria to the electronic physician order format.Īdvances in technology allow preprinted physician orders to have flexibility and the ability to rapidly adjust and adapt to changes in individual hospital processes, patients, and available services.
Doctors orders trial#
In the health care environment, nothing goes forward without calling on the assistance of and providing direction through physician orders.Īlthough research supports the effects of electronic reminders and computerized physician (or provider) order entry (CPOE) on patient care, 2 the present article describes our efforts (some of them through trial and error, some supported by research) to define and refine preprinted physician orders (including paper-based models) that improve interdisciplinary integration and accurate communication, while reducing unnecessary variation.
Orders are the initial means that enable physicians to communicate with a variety of interdisciplinary hospital caregivers, and they represent the starting point for action and care. Because physician orders exist at the intersection where multiple disciplines and services (e.g., case and risk management) converge, they are the ideal medium by which to address concerns pertaining to reimbursement, utilization, patient safety, and quality measures. Whether they are printed on paper or available for electronic access, development and implementation of well designed, preprinted physician orders requires engineering, education, and enforcement. Comprehensive orders that clearly communicate directions and reduce unnecessary calls to physicians for clarifications and questions.
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