Difference between revisions of "Default settings of computerized physician order entry system order sets drive ordering habits"
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== Introduction == | == Introduction == | ||
Computerized physician order entry (CPOE) sytems are quickly becoming widely used and groups of orders ("order sets") to allow for easy order input are a common feature. Order sets are groups of orders commonly used in for condition-specific or situation specific encounters. The order set components (specific order) can be set up to be "preselected" or "defaulted-on" whenever the order set is used while other components might be "optional" or "defaulted-off". Physicians create order habits based on their needs and incorporate order sets to their workflow of practice.<ref name= "OrderSets">Default settings of computerized physician order entry system order sets drive ordering Olson J1, Hollenbeak C2, Donaldson K3, Abendroth T3, Castellani W3.J Pathol Inform. 2015 Mar 24;6:16. doi: 10.4103/2153-3539.153916. eCollection 2015.://annals.org/article.aspx?articleid=716518http://www-ncbi-nlm-nih-gov.ezproxyhost.library.tmc.edu/pmc/articles/PMC4382759/</ref> | Computerized physician order entry (CPOE) sytems are quickly becoming widely used and groups of orders ("order sets") to allow for easy order input are a common feature. Order sets are groups of orders commonly used in for condition-specific or situation specific encounters. The order set components (specific order) can be set up to be "preselected" or "defaulted-on" whenever the order set is used while other components might be "optional" or "defaulted-off". Physicians create order habits based on their needs and incorporate order sets to their workflow of practice.<ref name= "OrderSets">Default settings of computerized physician order entry system order sets drive ordering Olson J1, Hollenbeak C2, Donaldson K3, Abendroth T3, Castellani W3.J Pathol Inform. 2015 Mar 24;6:16. doi: 10.4103/2153-3539.153916. eCollection 2015.://annals.org/article.aspx?articleid=716518http://www-ncbi-nlm-nih-gov.ezproxyhost.library.tmc.edu/pmc/articles/PMC4382759/</ref> | ||
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| + | == Methods == | ||
| + | |||
| + | Order set for post transfusion orders were utilized for this study in an effort to improve quality. Changes to two orders were done; posttransfusion hematocrits and platelet count were modified from "optional" to "preselected". The default settings for platelets count was later changed back to "optional", allowing for a natural experiment to study the effect of the default selections of an order set on clinician ordering habits. | ||
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| + | == Results == | ||
| + | |||
| + | *Initial percentage: | ||
| + | hematocrits orders 8.3% | ||
| + | platelets count orders 7% | ||
| + | |||
| + | *After default order set change | ||
| + | hematocrits orders 57.4% | ||
| + | platelets count orders 59.4% | ||
| + | |||
| + | *Platelet count order changed back to initial set up | ||
| + | platelet count orders 7.5% | ||
| + | |||
| + | There was a significant difference in the rate at which posttransfusion counts were obtained between the intervention periods and when the platelet count was defaulted "optional" and "preselected".<ref name= "OrderSets"> | ||
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=== Reference === | === Reference === | ||
| − | < | + | <reference/> |
[[Category: Reviews]] | [[Category: Reviews]] | ||
[[Category: CPOE]] | [[Category: CPOE]] | ||
[[Category: Order Sets]] | [[Category: Order Sets]] | ||
Revision as of 04:42, 1 October 2015
Article Review
Introduction
Computerized physician order entry (CPOE) sytems are quickly becoming widely used and groups of orders ("order sets") to allow for easy order input are a common feature. Order sets are groups of orders commonly used in for condition-specific or situation specific encounters. The order set components (specific order) can be set up to be "preselected" or "defaulted-on" whenever the order set is used while other components might be "optional" or "defaulted-off". Physicians create order habits based on their needs and incorporate order sets to their workflow of practice.[1]
Methods
Order set for post transfusion orders were utilized for this study in an effort to improve quality. Changes to two orders were done; posttransfusion hematocrits and platelet count were modified from "optional" to "preselected". The default settings for platelets count was later changed back to "optional", allowing for a natural experiment to study the effect of the default selections of an order set on clinician ordering habits.
Results
- Initial percentage:
hematocrits orders 8.3% platelets count orders 7%
- After default order set change
hematocrits orders 57.4% platelets count orders 59.4%
- Platelet count order changed back to initial set up
platelet count orders 7.5%
There was a significant difference in the rate at which posttransfusion counts were obtained between the intervention periods and when the platelet count was defaulted "optional" and "preselected".[1]
Cite error: <ref> tags exist, but no <references/> tag was found
