title: Standardized network order sets in rural Ontario: a follow-up report on successes and sustainability.
abstract: Unifying, implementing and sustaining a large order set project requires strategic placement of key organizational professionals to provide ongoing user education, communication and support. This article will outline the successful strategies implemented by the Grey Bruce Health Network, Evidence-Based Care Program to reduce length of stay, increase patient satisfaction and increase the use of best practices resulting in quality outcomes, safer practice and better allocation of resources by using standardized Order Sets within a network of 11 hospital sites. Audits conducted in 2007 and again in 2008 revealed a reduced length of stay of 0.96 in-patient days when order sets were used on admission and readmission for the same or a related diagnosis within one month decreased from 5.5% without order sets to 3.5% with order sets.
authors.affiliation: Evidence-Based Care Program at the Grey Bruce Health Network, in Hanover, Ontario, Canada. arawn@gbhs.on.ca
authors.forename: Andrea
authors.initials: A
authors.lastname: Rawn
authors.forename: Katrina
authors.initials: K
authors.lastname: Wilson
mesh_terms: D002985:Clinical Protocols / Q000592:standards; D017598:Efficiency, Organizational / Q000592:standards; D019983:Guideline Adherence; D006780:Hospitals, Rural / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008485:Medical Audit; D050316:Medical Order Entry Systems / Q000458:organization & administration / Q000592:standards* / Q000706:statistics & numerical data; D009864:Ontario; D010359:Patient Readmission / Q000706:statistics & numerical data; D015397:Program Evaluation; D011787:Quality of Health Care / Q000458:organization & administration / Q000592:standards