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Safe and successful implementation of CPOE for chemotherapy at a children's cancer center.
- Source :
-
Journal of the National Comprehensive Cancer Network : JNCCN [J Natl Compr Canc Netw] 2011 Feb; Vol. 9 Suppl 3, pp. S36-50. - Publication Year :
- 2011
-
Abstract
- Computerized prescriber order entry (CPOE) for medications has been implemented in only approximately 1 in 6 United States hospitals, with CPOE for chemotherapy lagging behind that for nonchemotherapy medications. The high risks associated with chemotherapy combined with other aspects of cancer care present unique challenges for the safe and appropriate use of CPOE. This article describes the process for safe and successful implementation of CPOE for chemotherapy at a children's cancer center. A core principle throughout the development and implementation of this system was that it must be as safe (and eventually safer) as existing paper systems and processes. The history of requiring standardized, regimen-specific, preprinted paper order forms served as the foundation for safe implementation of CPOE for chemotherapy. Extensive use of electronic order sets with advanced functionality; formal process redesign and system analysis; automated clinical decision support; and a phased implementation approach were essential strategies for safe implementation of CPOE. With careful planning and adequate resources, CPOE for chemotherapy can be safely implemented.
- Subjects :
- Adolescent
Antineoplastic Agents administration & dosage
Child
Child, Preschool
Electronic Health Records
Hospitals, Pediatric
Humans
Infant
Infant, Newborn
United States
Antineoplastic Agents therapeutic use
Decision Support Systems, Clinical
Medical Order Entry Systems
Neoplasms drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1540-1413
- Volume :
- 9 Suppl 3
- Database :
- MEDLINE
- Journal :
- Journal of the National Comprehensive Cancer Network : JNCCN
- Publication Type :
- Academic Journal
- Accession number :
- 21357666
- Full Text :
- https://doi.org/10.6004/jnccn.2011.0131