Appl Clin Inform - Computerized Physician Order Entry (CPOE) in pediatric and neonatal intensive care: Recommendations how to meet clinical requirements.

Tópicos

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Resumo

JECTIVE: To identify and summarize the requirements of an optimized CPOE application for pediatric intensive care.METHODS: We analyzed the medication process and its documentation in the pediatric and neonatal intensive care units (PICU/NICU) of two university hospitals using workflow analysis techniques, with the aim of implementing computer-supported physician order entry (CPOE).RESULTS: In both PICU/NICU, we identified similar processes that differed considerably from adult medication routine. For example, both PICU/NICU prepare IV pump syringes on the ward, but receive individualized ready-to-use mixed IV bags for each patient from the hospital pharmacy on the basis of a daily order. For drug dose calculation, both PICU/NICU employ electronic calculation tools that are either incorporated within the CPOE system, or are external modules invoked via interface.CONCLUSION: On the basis of this analysis, we provide suggestions to optimize CPOE applications for use in the pediatric and neonatal intensive care unit in the form of three catalogues of desiderata for drug order entry support.

Resumo Limpo

jectiv identifi summar requir optim cpoe applic pediatr intens caremethod analyz medic process document pediatr neonat intens care unit picunicu two univers hospit use workflow analysi techniqu aim implement computersupport physician order entri cpoeresult picunicu identifi similar process differ consider adult medic routin exampl picunicu prepar iv pump syring ward receiv individu readytous mix iv bag patient hospit pharmaci basi daili order drug dose calcul picunicu employ electron calcul tool either incorpor within cpoe system extern modul invok via interfaceconclus basi analysi provid suggest optim cpoe applic use pediatr neonat intens care unit form three catalogu desiderata drug order entri support

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