Difference between revisions of "Orders on paper missed in system with hybrid electronic/paper systems"

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Nurses report during the transition to full CPOE implementation, they must work with a hybrid system, where some orders are entered via the CPOE system, and others are placed on paper (for example, an order for an angioplasty may be written instead of entered on the system).  As more and more units "go live," there is an increasing tendency to look only at orders that are on line and to forget to double-check the paper record in case separate orders have been entered there.  Furthermore, there are few redundant checks (via a unit secretary) to assure that all orders are seen by the appropriate person.
 
Nurses report during the transition to full CPOE implementation, they must work with a hybrid system, where some orders are entered via the CPOE system, and others are placed on paper (for example, an order for an angioplasty may be written instead of entered on the system).  As more and more units "go live," there is an increasing tendency to look only at orders that are on line and to forget to double-check the paper record in case separate orders have been entered there.  Furthermore, there are few redundant checks (via a unit secretary) to assure that all orders are seen by the appropriate person.
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Back to: [[Unintended Consequences of HIT]]

Revision as of 19:51, 14 June 2007

Nurses report during the transition to full CPOE implementation, they must work with a hybrid system, where some orders are entered via the CPOE system, and others are placed on paper (for example, an order for an angioplasty may be written instead of entered on the system). As more and more units "go live," there is an increasing tendency to look only at orders that are on line and to forget to double-check the paper record in case separate orders have been entered there. Furthermore, there are few redundant checks (via a unit secretary) to assure that all orders are seen by the appropriate person.

Back to: Unintended Consequences of HIT