- What are main reasons why Emory decided to implement CPOE systems? Were these good reasons?
Emory decided to implement CPOE because they are more reliable and easier to access than the previous system. After implementing CPOE, doctors can initiate orders online instead of signing papers. It reduces the probability of losing the paper. In addition, doctors can send the patients' exam online instead of through faxing.
They were good reasons because they free doctors and hospital workers papers, which are burdensome and hard to manage. CPOE allow both doctors and patients to view the details online.
- Why won’t CPOE’s eliminate all medical errors?
CPOE cannot eliminate all medical errors due to man-made mistakes. According to a ground nurse's experience, CPOE is extremely difficult to use. Though CPOE has benefitted many emergency physicians in a significant way, it also brings trouble for those less technology savvy physicians. They would click on the wrong patient names.
The overall feedbacks from physicians are positive.
- What are the some differences between how Emory placed orders before CPOE and then after CPOE?
After CPOE, nurses no longer need to take notes from the doctor and let the doctor sign the order. Doctors will type in the orders himself. Doctors can also view the information through the sheets with a remote access. It improves efficiency and minimizes the mistakes.
- What is workaround, and how does a change in workflow make workarounds more noticeable?
Workaround means that hospital workers work in a different way to achieve the goal instead of the normal way. They perceive that some problems are very hard to solve.
A disintermediation in Emory CPOE shifts the workload of nurses to physicians. Physicians complain about that because they have to do more. Nurses have problems reviewing the order because they no longer receive verbal orders from doctors. Pharmacists love this change because they are freed up from writing orders all day to walking around on the floor.
- Have you ever experienced anything like this in your work or school systems?
U of A Campus Recreation Center has just renovated its locker room and introduces a new towel tracker. This move causes disintermediation between the towel renters and workers at rental area. Additionally, renters would no longer need to get into line and return the towels due to the micro trackers on the towel. While it saves trouble for most of us, people who are not so acceptable to the change needs to register their finger prints.
I suggest that people should be informed of the benefits change bring in a long run so that more people are welcoming the changes.
I agree with that changes can bring benefit into our life although not everyone likes new changes, because they prefer to stick into the old way or it could make their life more complicated. The truths is, changes are not necessarily bad, even if we encounter some new changes that were terrible than the previous. But somehow and someway we will try to fix it and make it more beneficial to our life. That's the reason why changes are implemented in our life, is to try to create more benefits than to bring in more disadvantages.
ReplyDeleteI agree with you that people should be informed of the benefits that would bring in a long run before the changes, as majority of the people look at the new changes in short terms. You also brought up a good example of the UofA campus rec center. I'm still used to doing things in the old fashion-way such as lining up to borrow and return items, but the new changes do seem to save time, even though it means that I have to register my fingerprints.
ReplyDelete