• The same authors previously provided an overview of their experiences in implementing computerized provider order entry (CPOE) in long-term care settings. (ahrq.gov)
  • Computerized provider order entry (CPOE) systems are widely hailed as a key strategy to improve medication safety, particularly when coupled with effective clinical decision support systems (CDSS). (ahrq.gov)
  • Medical order entry systems , also called computerized provider order entry systems ( CPOE ) are a component of an electronic health record and are defined as "information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. (citizendium.org)
  • Allscripts Sunrise provides computerized provider order entry (CPOE) and features including integrated pharmacy and bar-coded medication administration. (southnassau.org)
  • 2009). "What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?" . (citizendium.org)
  • A new clinical trial published in the Journal of Child Psychology and Psychiatry shows that adding a computerised test of attention and activity (QbTest) to standard care can reduce the time needed to make a diagnostic decision on ADHD, increase the likelihood of excluding ADHD when it is not present, and improve clinicians' confidence in their decision-making, without compromising diagnostic accuracy. (chadd.org)
  • Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. (utah.edu)
  • Once at the incident scene, the medical clinician can use existing medical protocols or may require medical direction depending on the patient's condition. (miemss.org)
  • However, the design, customization, and use of electronic health records (EHRs) by doctors, nurses, and other clinicians can also lead to inefficiencies or workflow challenges and can fail to prevent-or even contribute to-patient harm. (pewtrusts.org)
  • Allscripts Sunrise aggregates and organizes patient data, delivering it seamlessly into clinicians' workflow, enhancing the planning and coordination of care provided to patients. (southnassau.org)
  • A generalguideline implementation for all clinicians, including educationabout guideline-based drug recommendations and goals foradequacy of blood pressure control, was compared with additionof a printed individualized advisory sent to clinicians at eachpatient visit, indicating whether or not the patient's antihypertensivedrug regimen was guideline concordant. (ajmc.com)
  • It includes a computerized neurocognitive exam. (haysmed.com)
  • Neurological Testing - Patients may be asked to undergo additional neurological testing, including but not limited to: computerized neurocognitive testing. (hss.edu)
  • The main areas of professional interest have been related to Oncology Pharmacy, in collaborations with clinicians, in terms of Drug Use Evaluation programs, implementation of Clinical Pathways, Information Technology (design, development and implementation of a computerized prescription order entry system), Dr. Rubio Salvador is also a member of the Scientific Committee and Organizing Committee of the Spanish Annual Congress of Medical Oncology and Oncology Pharmacy. (eahp.eu)
  • However, this process may become easier in the future as recent developments in technology have led to the development and implementation of computerized prescribing order entries and alert-based clinical decision support systems. (contagionlive.com)
  • The study, " Implementation and Effectiveness of a Real-Time Computerized Physician Order Entry Conversational Tool for Antimicrobial Stewardship Interventions ," was presented in a late breaker oral abstract session on April 16, 2019, at ECCMID 2019 in Amsterdam, the Netherlands. (contagionlive.com)
  • Enlisting clinician super users to provide frontline support to employees has been recommended to foster EHR implementation success. (biomedcentral.com)
  • The implementation outcome, clinicians' information systems (IS) proficiency, was assessed using longitudinal survey data collected from 43 clinicians before and after the EHR start-date. (biomedcentral.com)
  • Using data collected at three waves over a 5-year period from a panel of 30 outpatient children's mental health clinics employing 496 clinicians, we conducted a quasi-experimental difference-in-differences study to test whether within-organization change in implementation leadership predicted within-organization change in EBP implementation climate, and whether change in EBP implementation climate predicted within-organization change in clinicians' use of EBP. (biomedcentral.com)
  • At each wave, clinicians reported on their first-level leaders' implementation leadership, their organization's EBP implementation climate, and their use of both EBP and non-EBP psychotherapy techniques for childhood psychiatric disorders. (biomedcentral.com)
  • In turn, organizations that improved from low to high levels of EBP implementation climate experienced significantly greater increases in their clinicians' average EBP use ( d = .55, p = .007) and within-organization improvement in EBP implementation climate accounted for 14% of the variance in increased clinician EBP use. (biomedcentral.com)
  • When first-level leaders increase their frequency of implementation leadership behaviors, organizational EBP implementation climate improves, which in turn contributes to increased EBP use by clinicians. (biomedcentral.com)
  • Using data collected from 30 clinics across a 5-year period and incorporating a host of rigorous statistical controls, our findings confirm for the first time that when first-level leaders increase their use of specific implementation leadership behaviors, they contribute to improvements in their organization's EBP implementation climate, which in turn contributes to increased use of EBP by clinicians. (biomedcentral.com)
  • These devices provide a useful new tool to aid in the evaluation of patients experiencing possible signs of a concussion, but clinicians should not rely on these tests alone to rule out a concussion or determine whether an injured player should return to a game," said Carlos Peña, Ph.D., M.S., director of the division of neurological and physical medicine devices at the FDA's Center for Devices and Radiological Health. (prnewswire.com)
  • It provides clinicians with a comprehensive concussion evaluation system. (haysmed.com)
  • SPECT (single-photon emission computerized tomography) scans rely on radioisotopes that are injected into the bloodstream of patients. (nvidia.com)
  • Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care. (ahrq.gov)
  • This case report describes how the cascade of events that led to an error in a long-term care setting might have been avoided with a computerized system in place. (ahrq.gov)
  • Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. (ahrq.gov)
  • CDR computerized assessment system Self-experimentation in medicine Single-subject design Spitzer WO (1986). (wikipedia.org)
  • Improving the utilization of admission order sets in a computerized physician order entry system by integrating modular disease specific order subsets into a general medicine admission order set. (citizendium.org)
  • When the gene test result comes back, the system will alert the clinician whether it is safe to proceed with Plavix or pick another drug. (genomeweb.com)
  • What we need from the EHR side is if a clinician is going to provide care to a patient where a particular gene marker is critical to providing the right care, we want to be able to ask for that information if we don't already have portions of it in our system, and ask for it in an objective way so we can run it through our algorithms," Sayed-Friel said. (genomeweb.com)
  • New data suggest that a computerized artificial intelligence system enhances the accuracy of treatment response assessments in patients with muscle-invasive bladder cancer. (medpagetoday.com)
  • A computerized artificial intelligence (AI)-based decision support system (CDSS-T) was developed in an effort to enhance the accuracy of treatment response assessments in patients with muscle-invasive bladder cancer. (medpagetoday.com)
  • But when a system is challenging to use or patient information is difficult for a clinician to find, safety risks could occur. (pewtrusts.org)
  • The aim of this study was to evaluate the impact of a computerized SBIRT system called the Health Evaluation and Referral Assistant (HERA) on risky alcohol use treatment initiation. (jmir.org)
  • The clinician accesses the EMS communications system via a Call channel (in some states defined as a Hailing Channel) to obtain a medical channel for consultation with the hospital emergency department. (miemss.org)
  • The aim of this study was to explore the efficacy of Central Nervous System Vital Signs (CNS VS) computerized battery in detecting cognitive dysfunction of MS patients in a district Greek population in Western Greece and try to designate differences in cognitive profile between RRMS and SPMS patients. (hindawi.com)
  • With computerized electronic medical record-keeping, EMR and electronic health records, EHR the same health care providers who prescribe a drug can now order it directly using ChartWare's electronic medical record, EMR/EHR a computerized electronic medical record-keeping system. (chartware.com)
  • Methods: Using suicides identified from the three most recent years of National Violent Death Reporting System data with industry and occupation codes from the NIOSH Industry and Occupation Computerized Coding System (2015-2017), decedents were categorized as first responders or non-first responders based on usual occupation. (cdc.gov)
  • To investigate the pattern of cognitive impairment in relapsing remitting multiple sclerosis (RRMS) and secondary progressive multiple sclerosis (SPMS) patients using a computerized battery. (hindawi.com)
  • Computerized cognitive screening batteries have the potential to effectively address these limitations [ 19 ]. (hindawi.com)
  • A variety of standardized measures involving direct interaction between the psychologist and child/teen-computerized measures, self-report and parent/teacher report questionnaires, and other types-are used to look at several areas of functioning, including cognitive functioning, academic achievement in a variety of domains, reading/language skills, attention/impulsivity, visual-motor skills, and emotional functioning. (goodtherapy.org)
  • Drugs may be ineffective in older adults because clinicians under-dose (eg, because of increased concern about adverse effects) or because adherence is poor (eg, because of financial or cognitive limitations). (msdmanuals.com)
  • Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency. (ahrq.gov)
  • The impact of computerized provider order entry on medication errors in a multispecialty group practice. (ahrq.gov)
  • Clinical trials using a CDR protocol are also reported for clinicians attempting to assess the effects of a medication on patients. (wikipedia.org)
  • For example, an unclear medication list could result in a clinician ordering the wrong drug for a patient. (pewtrusts.org)
  • And failures of systems to issue alerts about harmful medication interactions-situations that can stem from changes made by facilities, how clinicians enter data, or EHR design-could lead to medical errors. (pewtrusts.org)
  • Clinicians should use both the FDA-approved proprietary name Kadcyla and its nonproprietary name (ado-trastuzumab emtansine) when communicating medication orders, on preprinted order sets and in computerized order entry systems. (acpinternist.org)
  • An individualized advisory regarding drug therapyfor hypertension given to the clinician at each patient visit wasmore effective in changing clinician prescribing behavior thanimplementation of a general guideline. (ajmc.com)
  • The nature and behavior of these asymptomatic oral and oropharyngeal mucosal alterations may remain uncertain to the clinician. (medscape.com)
  • Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. (ahrq.gov)
  • The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review. (ahrq.gov)
  • Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders. (ahrq.gov)
  • Meditech's EHR can now scan prescription orders for potential drug-gene interactions and alert clinicians of any issues during the computerized physician order-entry process. (genomeweb.com)
  • On the other hand, they often involve clinicians who are unfamiliar with the principles and practice of clinical trials and who may not have access to the resources common in research settings. (ahrq.gov)
  • The clinician may be generally unfamiliar concerning the performance of any form of intraoral or upper aerodigestive tract biopsy. (medscape.com)
  • Immunization information systems (IISs) are population-based, computerized databases that record all vaccine doses administered by participating clinicians to patients within a given area. (cdc.gov)
  • Direction and control enable prehospital care clinicians to receive medical direction for the appropriate care and management of patients. (miemss.org)
  • Because radiology was the first medical specialty to computerize, what has happened to it - at once shocking and, in retrospect, entirely predictable - is our canary in the digital coal mine, its experience offering important lessons for patients, clinicians and health care systems. (kqed.org)
  • 1-4 Provision of educationand feedback to clinicians based on drugprofiling of panels of patients effectively changes practicein various settings, 5 including hypertension management. (ajmc.com)
  • It's also recommended that clinicians discontinue the drug in patients with symptoms of liver injury. (acpinternist.org)
  • A national health information infrastructure is needed (1) to provide immediate access to complete patient information and decision support tools for clinicians and their patients and (2) to capture patient safety information as a by-product of care and use this information to design even safer delivery systems. (nationalacademies.org)
  • Les pratiques des médecins en termes de fréquence d'utilisation des examens radiologiques routiniers et de discussion sur les risques avec leurs patients étaient aussi médiocres. (who.int)
  • B.4 The Director should maintain a list of A.4 Identifiable data may be provided to a staff members indicating the nature and clinician for use in the treatment of extent of their access to registry data cancer patients (section 6.3) observing (section 5.1). (who.int)
  • Allattending physicians and nurse practitioners with primarycare clinics in which they provided direct patientcare (rather than providing only supervision of residents,which takes place at 1 site) were included.Because the intervention was provided to clinicians, werandomized by clinicians. (ajmc.com)
  • The unit in which super users were more proactive, provided more comprehensive explanations for their actions, used positive framing, and shared information more freely experienced significantly greater improvement in clinicians' IS proficiency (p =0.03). (biomedcentral.com)
  • 18 We designed an interventionto address known barriers to clinician guideline adherence, 2,19-21 using education, performance feedback, recommendationsabout drug therapy for specific patientsdelivered to the clinician during the clinic visit, andrequests for a response from the clinician. (ajmc.com)
  • Software-delivered measurement-based care (MBC) provides direct support to clinicians and may be one method for overcoming systems barriers to primary care management of OUD with buprenorphine. (biomedcentral.com)
  • Focus groups of faculty clinicians ( N = 33) from 3 clinics were conducted to understand perceptions of OUD diagnosis and treatment and whether a computerized MBC model might assist with diagnosis and treatment. (biomedcentral.com)
  • In fact, some changes to EHRs might improve safety but result in less-efficient workflows-for example, if clinicians were prompted to enter "lbs." or "kg. (pewtrusts.org)
  • To assess patient satisfaction with the arthritis care services provided by graduates of the Advanced Clinician Practitioner in Arthritis Care (ACPAC) program. (dovepress.com)
  • The second key challenge is the absence of requirements and guidance on how to test clinician interaction with the EHR for safety issues. (pewtrusts.org)
  • Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting. (ahrq.gov)
  • For the study, the antimicrobial stewardship team at London Health Sciences Centre implemented a new tool for audit-and-feedback interventions which used an Information Technology-developed multi-phasic conversational alert-based computerized prescribing order entry-based tool. (contagionlive.com)
  • We measured changefrom baseline to end point in the proportion of clinicians' patientswhose drug therapy was guideline concordant. (ajmc.com)
  • In this chapter, we discuss key statistical issues for n-of-1 trials-trials of one patient treated multiple times with two or more treatments, usually in a randomized order, with the design under the control of the patient and his or her clinician. (ahrq.gov)
  • Usability challenges can frustrate clinicians because they make simple tasks take longer, lead to workarounds, or even contribute to patient safety concerns. (pewtrusts.org)
  • The basic design principles include randomization and counterbalancing, replication and blocking, the number of crossovers needed to optimize statistical power, and the choice of outcomes of interest to the patient and clinician. (ahrq.gov)
  • One of the appealing features for the n-of-1 trial lies in its allowing the patient and clinician to devise an individualized trial with idiosyncratic treatments and outcomes run in real-world settings. (ahrq.gov)
  • One way to ensure such standards is to establish a centralized service responsible for crucial study tasks such as providing properly randomized or balanced/counterbalanced treatment sequences to the patient-clinician pair when they are designing the trial. (ahrq.gov)
  • After choosing the identity and duration of the treatments to be given, the patient and his/her clinician must be given a sequence of treatments in such a way that the validity of the experimental process is maintained. (ahrq.gov)
  • MBC uses systematic patient symptom assessments to inform an algorithm to support clinicians at critical decision points. (biomedcentral.com)
  • Mike Finley, MD, sees the future of the spirit, as well as the letter, of healthcare data accessibility, and it portends a clear shift in the way clinicians will have to regard the information in their care. (fortherecordmag.com)
  • The larger question for clinicians may likely be to determine exactly which varieties of data mining are relevant clinically and then how to evaluate or build platforms to share with a variety of users across the entire continuum of care. (fortherecordmag.com)
  • However bright the future of mining individual and demographic data to help clinicians deliver safer and more efficient care, the current reality is overall adoption of electronic records, especially in primary care settings, is low. (fortherecordmag.com)
  • No matter where you get care, your Mount Sinai South Nassau clinicians can access your images and results from their offices 24 hours a day. (southnassau.org)
  • The introduction of panoramic radiography in the 1960s and its extensive use in the 1970s and 1980s marked the beginning of great progress in dental diagnosis, affording clinicians an overview of the jaws and maxillofacial structures. (bvsalud.org)
  • Compared to firefighters and EMS clinicians, LEO decedents had slightly lower percentages of depressed mood, mental health problems, history of suicidal thoughts, and history of suicide attempts. (cdc.gov)
  • The computerized stuttering treatment program, called Dr. Fluency, sells for $499. (jweekly.com)
  • The program includes a clinicians' package, a home-use package and a post-treatment fluency maintenance package. (jweekly.com)
  • The treatment regimen was to be approved by the TBDC as required by law, 5 and any changes to the regimen were to be advised to clinicians by the TBDC as necessary. (who.int)
  • The partnership between women and clinicians can be enhanced by sharing information, knowledge, and the decision making process in this way. (igi-global.com)
  • Drug shortages and clinicians: no time for complacency. (ahrq.gov)
  • In the case of a nationwide drug shortage, that process could take much longer in a manual, non-computerized fashion because supply-chain professionals would have to call clinicians and vendors to find alternatives . (modernhealthcare.com)
  • Each county is responsible for the dispatch of its ambulances, usually in response to a 911 call or request from another emergency services clinician. (miemss.org)
  • Le présent article est le dernier de trois articles de synthèse qui constituent le contexte de recherche d'une série de cinq études interdépendantes sur les modes de prescription et les erreurs de médication dans les secteurs public et privé des soins de santé primaires en Arabie saoudite. (who.int)
  • Over half of first responders (58%) were LEOs, 21% were firefighters, 18% were EMS clinicians, and 2% were public safety telecommunicators. (cdc.gov)
  • We provide them via secure computer connection, using a modern digital (computerized) archive. (southnassau.org)
  • All images and reports are immediately available to your Mount Sinai South Nassau clinicians from their offices 24 hours a day, via a secure connection. (southnassau.org)
  • We assessed super users' behaviors by observing 29 clinicians and conducting 24 in-depth interviews. (biomedcentral.com)