title: A new approach to the implementation of direct care-provider order entry.
abstract: Successful implementation of direct computer-based care-provider order entry traditionally relies on one of two different approaches development from scratch or installation of a commercial product. The former requires extensive resources; the latter, by its proprietary nature, limits extension of the system beyond capabilities supplied by the vendor. This paper describes an intermediate approach using the association of a locally-developed and controlled set of distributed microcomputer based applications and a commercial, mainframe-based order entry application used as an order transaction processing system. This combination provides both an intuitive user interface and a platform for implementing clinical decision-support tools.
authors.affiliation: Division of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
authors.forename: A
authors.initials: A
authors.lastname: Geissbühler
authors.forename: R A
authors.initials: RA
authors.lastname: Miller
mesh_terms: D003195:Computer Communication Networks; D003199:Computer Systems; D003204:Computers, Mainframe; D006751:Hospital Information Systems; D006801:Humans; D016247:Information Storage and Retrieval; D016347:Medical Records Systems, Computerized; D008838:Microcomputers; D010347:Patient Care Planning; D012984:Software