The use of interactive computerized order sets to improve outcomes.
An interdisciplinary team, led by a medication safety pharmacist and a nurse clinical and quality analyst, has created criteria-based, interactive order sets in a computerized physician order entry system to facilitate the ordering of evidence-based medications. These order sets are developed by consensus among physicians, nurses, and pharmacists utilizing the literature of the medical specialty, and then presented to the Pharmacy & Therapeutics Committee for approval. Once approved, the orders are built in the computer system and checked for quality by a pharmacist and 2 nurses before activation. The support of the vice president of Medical Affairs and the physician chief information officer has paved the way for physician acceptance of the orders.
Department of Pharmacy Practice, LECOM-Bradenton School of Pharmacy, Bradenton, Florida 34211, USA. speshek@lecom.edu
Stephanie C
SC
Peshek
Kathleen
K
Cubera
Linda
L
Gleespen
D016303:Clinical Pharmacy Information Systems / Q000458:organization & administration*; D020000:Decision Support Systems, Clinical; D011307:Drug Prescriptions; D004360:Drug Therapy, Computer-Assisted; D019317:Evidence-Based Medicine / Q000592:standards; D006801:Humans; D050316:Medical Order Entry Systems; D008508:Medication Errors / Q000517:prevention & control / Q000706:statistics & numerical data; D008510:Medication Systems, Hospital / Q000592:standards / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D014584:User-Computer Interface