CCHS-East Huron Hospital CPOE Project

CCHS-东休伦医院CPOE项目

• 批准号: 6951993
• 负责人: Greg Kall
• 金额: $ 50万
• 依托单位: HURON HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6951993
• 关键词: automated medical record system; behavioral /social science research tag; chronic disease /disorder; computer assisted patient care; drug administration rate /duration; emergency health services; health care personnel performance; health care quality; health care service evaluation; health education; health services research tag; nurse performance; nursing education; outpatient care; patient care management; patient safety /medical error; personal computers; pharmacy

DESCRIPTION (provided by the applicant): The vision for CCHS-East's information systems and for the CCHS-East's Huron Hospital CPOE Project is to create an information management environment that supports the integration of patient care data, improved patient outcomes, standardizes practice variation and use of best practices, reduces medical errors and supports the delivery of a seamless continuum of patient care throughout the Health System. As part of its overall Information Technology Strategic Plan for CCHS-East, CCHS-East will partner with its four hospitals, Meridia Medical Group, The Quality Institute, Eclipsys Corporation, Huron School of Nursing, and the Chronic Disease Center. The current implementation plan for Electronic Medical Record (EMR), calls for the installation of computerized physician order entry (CPOE), results retrieval, medication management and medication administration modules. The implementation of CPOE has the capacity to provide physicians with timely clinical information and decision-making supports to decrease the rate of medical errors and adverse drug events (ADEs) and to make communication more effective among the various departments. Huron Hospital is located in East Cleveland, an urban inner ring suburb with high unemployment, and poverty. East Cleveland's 27,217 population is 94.2 percent African-American with high rates of chronic diseases (COPD, diabetes, heart disease, end-stage renal disease and asthma). The project will measure the impact of CPOE on general quality of care, safety, and administrative efficiency with a special focus on patients with chronic diseases using the clinical data repository created by the EMR. Year 1 of the project will be a pilot CPOE at Huron Hospital providing physicians with remote access and hand-held devices to promote adoption. Years 2 & 3 will expand the use of CPOE to Euclid, Hillcrest and South Pointe Hospitals, establish a clinical informatics center, integrate the technology of EMR and CPOE in Huron School of Nursing's curriculum, implement medication management and bar-coded medication administration at all four hospitals.

描述（由申请人提供）：CCHS-East的信息系统和CCHS-East的休伦医院CPOE项目的愿景是创建一个信息管理环境，支持患者护理数据的整合，改善患者的治疗效果，简化实践变化和使用最佳实践，减少医疗差错，并支持整个卫生系统提供无缝连续的患者护理。作为CCHS东部整体信息技术战略计划的一部分，CCHS东部将与其四家医院、西布曲明医疗集团、质量研究所、Eclipsys公司、休伦护理学院和慢性病中心合作。目前的电子病历（EMR）实施计划要求安装计算机化医嘱输入（CPOE）、结果检索、药物管理和药物管理模块。CPOE的实施能够为医生提供及时的临床信息和决策支持，以降低医疗差错和药物不良事件（ADE）的发生率，并使各部门之间的沟通更加有效。休伦医院位于东克利夫兰，一个城市内环郊区，失业率高，贫困。东克利夫兰的27,217人口中94.2%是非洲裔美国人，慢性病（COPD、糖尿病、心脏病、终末期肾病和哮喘）的发病率很高。该项目将使用EMR创建的临床数据存储库来衡量CPOE对一般护理质量、安全性和行政效率的影响，特别关注慢性病患者。该项目的第一年将是休伦医院的CPOE试点，为医生提供远程访问和手持设备，以促进采用。第2年和第3年将扩大使用CPOE的欧几里得，希尔克雷斯特和南角医院，建立一个临床信息中心，整合EMR和CPOE的技术在护理的休伦学校的课程，实施药物管理和条形码药物管理在所有四家医院。