Difference between revisions of "Initial Selection of What to Alert on..."
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During a CPOE pilot on one unit an organization discovered, or rediscovered, just how much people communicate with those yellow sticky notes. For example, they found notes that said “Oxygen is up for renewal.” “Telemetry is up for renewal.” “You’ve got a narcotic that’s going to expire in twenty-four hours.” And it seemd that everybody just stuck sticky notes all over the chart. Well, one of the known disadvantages of CPOE is that not as many people are touching the patient's chart. For example, many physician's login from home, and just placeing their morning orders. They are not looking at that paper chart with those sticky notes on it. So one way of deciding which alerts and rules to put in place first is to try and replace the world of sticky notes. So the organization developed alerts that said, “Okay, your twenty-four hours are up with oxygen. Do you want the patient to continue?” “Telemetry’s up for renewal.” So they started with basic alerts that helped with communication and work flow. These alerts were really nonthreatening. Physicians expected to get an alert that says, “A narcotic’s getting ready to expire.” They were used to it in the paper world, so they commented, “Okay, this is okay.” | During a CPOE pilot on one unit an organization discovered, or rediscovered, just how much people communicate with those yellow sticky notes. For example, they found notes that said “Oxygen is up for renewal.” “Telemetry is up for renewal.” “You’ve got a narcotic that’s going to expire in twenty-four hours.” And it seemd that everybody just stuck sticky notes all over the chart. Well, one of the known disadvantages of CPOE is that not as many people are touching the patient's chart. For example, many physician's login from home, and just placeing their morning orders. They are not looking at that paper chart with those sticky notes on it. So one way of deciding which alerts and rules to put in place first is to try and replace the world of sticky notes. So the organization developed alerts that said, “Okay, your twenty-four hours are up with oxygen. Do you want the patient to continue?” “Telemetry’s up for renewal.” So they started with basic alerts that helped with communication and work flow. These alerts were really nonthreatening. Physicians expected to get an alert that says, “A narcotic’s getting ready to expire.” They were used to it in the paper world, so they commented, “Okay, this is okay.” | ||
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Revision as of 07:59, 14 January 2006
During a CPOE pilot on one unit an organization discovered, or rediscovered, just how much people communicate with those yellow sticky notes. For example, they found notes that said “Oxygen is up for renewal.” “Telemetry is up for renewal.” “You’ve got a narcotic that’s going to expire in twenty-four hours.” And it seemd that everybody just stuck sticky notes all over the chart. Well, one of the known disadvantages of CPOE is that not as many people are touching the patient's chart. For example, many physician's login from home, and just placeing their morning orders. They are not looking at that paper chart with those sticky notes on it. So one way of deciding which alerts and rules to put in place first is to try and replace the world of sticky notes. So the organization developed alerts that said, “Okay, your twenty-four hours are up with oxygen. Do you want the patient to continue?” “Telemetry’s up for renewal.” So they started with basic alerts that helped with communication and work flow. These alerts were really nonthreatening. Physicians expected to get an alert that says, “A narcotic’s getting ready to expire.” They were used to it in the paper world, so they commented, “Okay, this is okay.”
