...Mount Auburn Hospital: Physician Order Entry Physician Order Entry (POE) * An additional module to the PCI by MEDITECH * Intended to reduce preventable ADEs (Adverse Drug Effects) * Pilot implementation to be done in the labor and delivery unit Overview of the Current Process | Overview of the Proposed Process | Objectives and suggested recommendations Training of staff Any implementation of an extensive system such a POE needs to ensure all stakeholders are onboard the new process. This requires them to accept the changes as well as being sufficiently trained to take advantages of POE. To address the first issue, we suggest involving physicians, nurses, pharmacists etc. early on in the designing the system and discussing their key concerns. Once the entire staff feels part of the team implementing the change, they are more likely to accept it than if asked to adopt a predetermined decision. A system adoption statistic can be released monthly to encourage each ward to compete and speedily implement the new change. For training, staff should be fully trained in a seminar about the key aspects of the system that concern them. A systems manager should always be available for troubleshooting. Expansion of system adoption The decision to implement the phase 1 of POE in labour and delivery ward makes sense as the medication and treatments there are much simpler to try out the new system. POE system can be tested here for months and changes suggested can be implemented...
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...What are the major benefits of implementing CPOE systems? What are the intended and Unintended effects of CPOE systems? With the quick improvements of the EHR (Electronic Health Record), and the implementation of this system within hospitals all across the United States, other systems that hospital's at present have must be up to the mission of being able to incorporate with HER system in order to make available the excellence of care that patient should obtain. An order admission system or otherwise known as CPOE (computerized physician order entry) is defined as, a computer system that allows shortest entry of medical orders by the person with the licensure and rights to do so (Joan Ash, 2010).The order entry system in which many hospitals apply take on the task of delivering orders that have been entered by a physician, and are accomplished of distributing these orders to many different areas of a facility. This means that the doctor can go to one place for medication orders, orders for laboratory and imaging tests, with the added aptitude of being able to view test results, and medication lists for each patient. Once integrated to work with the EHR system an in effect CPOE system even though not able to stand on its own due to the lack of being able to also incorporates clinical documentation, is an dependable system in which helps to alleviate the long hindered problems of paper-based methods, thus reducing the number of adverse effects sustained by a patient from medication...
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...R I Mount Auburn Hospital: Physician Order Entry Introduction In September of 2002, Robert Todd, the head of information systems (IS) for Mount Auburn Hospital in Cambridge, Massachusetts, reviewed progress toward the launch of the hospital’s new computerized physician order entry (POE) system. The committee overseeing the project consisted of an across-the-board selection of hospital representation, including physicians, pharmacy staff, nurses, administrators, and IS operations staff. The POE system was scheduled to ‚go live‛ on a pilot basis in the middle of October in the hospital’s labor and delivery unit. It had not been difficult to mount support for the project. POE systems had been demonstrated to reduce error rates, and medical errors were widely recognized as a large and serious problem in health care. A landmark study published in 19911 estimated that 1.3 million injuries occurred annually in U.S. hospitals, 69% of which were at last partially due to errors in patient management. The study found that 13% of injuries resulted in patient death, ‚a rate that if extrapolated to the United States as a whole suggested that approximately 180,000 deaths a year were, at least partly, the result of injuries received during the course of care.‛2 This study also found that adverse drug events (ADEs) accounted for nearly 20% of total injuries (making them the largest injury category) and that 45% of ADEs were the result of errors. A later study at two Boston hospitals found...
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...Mount Auburn Hospital is continually looking at and integrating systems and processes to ensure their patients’ safety. Over the last few years, the hospital has been implementing an electronic prescribing system called Computer Physician Order Entry or CPOE. Only 10 percent of the nation’s hospitals have this advanced prescribing system. “Mount Auburn Hospital is committed to patient safety and CPOE is proven to be effective,” says Greg Sophis, RPh, director of pharmacy at Mount Auburn Hospital in Cambridge, a teaching hospital of Harvard Medical School. Mr. Sophis says CPOE is a system in which physicians enter medication orders into a computer, rather than handwriting them on paper. The system intercepts or catches medication errors when they’re most likely to occur – at the time of order entry. The electronic prescribing system streamlines the ordering process as well. “CPOE eliminates several steps, and with each step there’s the chance of producing an error,” says Mr. Sophis. When a physician places an order, all the relevant patient information is right there at the physician’s fingertips. Laboratory, test results, medications the patient is currently on or allergic to – anything that has to do with important patient information is right there in the computer. “Everything is in real time. For example, when lab results are ready, it’s updated in the system for our medical staff to see,” says Mr. Sophis. Once an order is placed, it’s automatically checked...
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...Mount Auburn Hospital: Physician Order Entry (POE) Introduction * 1.3 million injuries occurred annually in 1991 * 69% are partially due to errors in patient management * 13% of these resulted in patient’s death Computerised Physician Order Entry Mount Auburn saw computerised POE as a critical patient-safety tool. Current system: Paper based and verbal communication Common errors in current system * Simple miscommunication of the drug order * Messy handwriting, confusion between names etc… * Lack of knowledge about drugs and patients * Rule violations, slips and memory lapses Advantages of POE When a physician places an order, all the relevant information are shown such as 1) Lab test results 2) Medication the patient is currently on 3) Allergic history etc.. * Everything is in real time – info about new drugs in the market, research finding, patient files * Reduced faulty drug identity checking – name mismatch problem solved * rule violations could also be lower – enhanced monitoring * ordering more streamlined * Reduced transcription error – handwriting issue solved All these will bring greater name to the hospital as the error rates will increase -> one of the Leapfrog’s recommendation is “Evidence-based Hospital referral”, hence this will generate positive name for the hospital. CRM could also be improved as the customer will be more satisfied with lesser errors and reduced...
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...RHIN-115 Health Data and Electronic Health Records Case Study Analysis Exercise Starts Week 6 Due End of Week 8 (11:55pm) This assignment is to perform an analysis of a full length case study dealing with a CPOE implementation at Mount Auburn Hospital in Cambridge. This will be similar in form to the work you have been doing each week on the mini case studies but different in scope. You will use the material in the case to develop an analysis of the state of the CPOE project and defend you position with facts contained in the case and theory and principals based on our course work and your own experience. Format 1. Your paper should be titled LastName_FirstInitial_CaseStudy 2. The file format can be MS Word (from 2003 or newer please) or OpenOffice, if you would like to use something else ask me first. Please do not use PDF as it is hard for me to annotate the paper when I am grading it. 3. There is no minimum length on this paper; there is a hard maximum of 2500 words of body text. As a guide if I was writing it I would probably take around 1800 or so. 4. Double space the body of your paper. 5. Include a title page with your name, the name of the class, and the date. 6. Include a footer with your name and the page number on each page. 7. Clarity counts, to that end spelling, grammar, and formatting matter. This document should be intended to convince a senior manager that you have done a thoughtful analysis of the problem...
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...Medical Device Networking for Smarter Healthcare: Part 3 Next-Generation WLAN Deployments in Hospitals Lantronix, Inc. 167 Technology Drive Irvine, CA 92618 Tel: +1 (800) 422-7055 Fax: +1 (949) 450-7232 www.lantronix.com Medical Device Networking for Smarter Healthcare: Part 3 of 4 Contents Introduction..................................................................................................................................................... 3 Wireless Roll-outs........................................................................................................................................... 5 Medical Device Connectivity / Mobile Carts .......................................................................................... 5 Handheld Devices .................................................................................................................................... 6 Computer-based Physician Order Entry (CPOE)..................................................................................... 7 Next-Generation Wireless Applications ......................................................................................................... 7 Location-based Services .......................................................................................................................... 7 Voice-over-WLAN .................................................................................................................................. 8 Internet/Intranet...
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...Business Plans Handbook Business Plans A COMPILATION OF BUSINESS PLANS DEVELOPED BY INDIVIDUALS NORTH THROUGHOUT AMERICA Handbook VOLUME 16 Lynn M. Pearce, Project Editor Business Plans Handbook, Volume 16 Project Editor: Lynn M. Pearce Product Manager: Jenai Drouillard Product Design: Jennifer Wahi Composition and Electronic Prepress: Evi Seoud Manufacturing: Rita Wimberley Editorial: Erin Braun ª 2010 Gale, Cengage Learning ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the publisher. This publication is a creative work fully protected by all applicable copyright laws, as well as by misappropriation, trade secret, unfair competition, and other applicable laws. The authors and editors of this work have added value to the underlying factual material herein through one or more of the following: unique and original selection, coordination, expression, arrangement, and classification of the information. For product information and technology assistance, contact us at Gale Customer Support, 1-800-877-4253. For permission to use material...
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...Course Technology’s Management Information Systems Instructor and Student Resources Introduction to IS/MIS Principles of Information Systems, Eighth Edition • Stair, Reynolds Fundamentals of Information Systems, Fourth Edition • Stair, Reynolds Management Information Systems, Sixth Edition • Oz Information Technology in Theory • Aksoy, DeNardis Office Applications in Business Problem-Solving Cases in Microsoft Access & Excel, Sixth Annual Edition • Brady, Monk Succeeding in Business Applications with Microsoft Office 2007 • Bast, Gross, Akaiwa, Flynn, et.al Succeeding in Business with Microsoft Office Excel 2007 • Gross, Akaiwa, Nordquist Succeeding in Business with Microsoft Office Access 2007 • Bast, Cygman, Flynn, Tidwell Databases Database Systems, Eighth Edition • Rob, Coronel Concepts of Database Management, Sixth Edition • Pratt, Adamski Data Modeling and Database Design • Umanath, Scamell A Guide to SQL, Seventh Edition • Pratt A Guide to MySQL • Pratt, Last Guide to Oracle 10g • Morrison, Morrison, Conrad Oracle 10g Titles Oracle9i Titles Enterprise Resource Planning Concepts in Enterprise Resource Planning, Third Edition • Monk, Wagner Data Communications Data Communications and Computer Networks: A Business User’s Approach, Fourth Edition • White Systems Analysis and Design Systems Analysis and Design in a Changing World, Fifth Edition • Satzinger, Jackson, Burd Object-Oriented Analysis and Design with the Unified Process • Satzinger, Jackson, Burd Systems Analysis and...
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...VESPASIAN ROME’?S EXECUTIONER Robert Fabbri read Drama and Theatre at London University and has worked in film and TV for twenty-five years. As an assistant director he has worked on productions such as Hornblower, Hellraiser, Patriot Games and Billy Elliot. His lifelong passion for ancient history –? especially the Roman Empire –? inspired the birth of the Vespasian series. He lives in London and Berlin. First published in Great Britain in 2012 by Corvus, an imprint of Atlantic Books Ltd. Copyright ©? Robert Fabbri 2012. The moral right of Robert Fabbri to be identified as the author of this work has been asserted in accordance with the Copyright, Designs and Patents Act of 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of both the copyright owner and the above publisher of this book. This is a work of fiction. All characters, organizations, and events portrayed in this novel are either products of the author’?s imagination or are used fictitiously. 9 8 7 6 5 4 3 2 1 A CIP catalogue record for this book is available from the British Library. ISBN: 978-1-84887-912-6 (Hardback) ISBN: 978-1-84887-913-3 (Trade paperback) ISBN: 978-0-85789-676-6 (eBook) Printed in Great Britain. Corvus An imprint of Atlantic Books Ltd Ormond...
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...C h a p t e r 1 Prewriting GETTING STARTED (OR SOUP-CAN LABELS CAN BE FASCINATING) For many writers, getting started is the hardest part. You may have noticed that when it is time to begin a writing assignment, you suddenly develop an enormous desire to straighten your books, water your plants, or sharpen your pencils for the fifth time. If this situation sounds familiar, you may find it reassuring to know that many professionals undergo these same strange compulsions before they begin writing. Jean Kerr, author of Please Don’t Eat the Daisies, admits that she often finds herself in the kitchen reading soup-can labels—or anything—in order to prolong the moments before taking pen in hand. John C. Calhoun, vice president under Andrew Jackson, insisted he had to plow his fields before he could write, and Joseph Conrad, author of Lord Jim and other novels, is said to have cried on occasion from the sheer dread of sitting down to compose his stories. To spare you as much hand-wringing as possible, this chapter presents some practical suggestions on how to begin writing your short essay. Although all writers must find the methods that work best for them, you may find some of the following ideas helpful. But no matter how you actually begin putting words on paper, it is absolutely essential to maintain two basic ideas concerning your writing task. Before you write a single sentence, you should always remind yourself that 1. You have some valuable ideas to tell your reader,...
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...The Tongue and Quill AFH 33-337 1 AUGUST 2004 Communication is an essential tool for the twenty-first century Air Force BY ORDER OF THE SECRETARY OF THE AIR FORCE AIR FORCE HANDBOOK 33-337 1 AUGUST 2004 Communications and Information THE TONGUE AND QUILL COMMUNICATING IS A POWERFUL TOOL FOR THE TWENTY-FIRST CENTURY AIR FORCE The Tongue and Quill is dedicated to every man and woman in today’s Air Force who will ever sling ink at paper, pound a keyboard, give a briefing, or staff a package to support the mission. Currently, The Tongue and Quill is widely used by Air Force military and civilian members, professional military school educators and students, and civilian corporations around the United States. As United States Air Force employees, it is important we communicate clearly and effectively to carry out our mission. This handbook together with AFMAN 33-326, Preparing Official Communications, will provide the necessary information to ensure clear communications— written or spoken. The use of the name or mark of any specific manufacturer, commercial product, commodity, or service in this publication does not imply endorsement by the Air Force To all you enthusiastic users worldwide, keep up the good fight! SUMMARY OF REVISIONS This revision improved organization; rearranged layout; updated quotes, art and word lists; and added material on preparing to write and speak, writing with focus, communicating to persuade, research, meetings, briefings and listening;...
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...In Cold Blood Truman Capote I. The Last to See Them Alive The village of Holcomb stands on the high wheat plains of western Kansas, a lonesome area that other Kansans call "out there." Some seventy miles east of the Colorado border, the countryside, with its hard blue skies and desert-clear air, has an atmosphere that is rather more Far West than Middle West. The local accent is barbed with a prairie twang, a ranch-hand nasalness, and the men, many of them, wear narrow frontier trousers, Stetsons, and high-heeled boots with pointed toes. The land is flat, and the views are awesomely extensive; horses, herds of cattle, a white cluster of grain elevators rising as gracefully as Greek temples are visible long before a traveler reaches them. Holcomb, too, can be seen from great distances. Not that there's much to see simply an aimless congregation of buildings divided in the center by the main-line tracks of the Santa Fe Rail-road, a haphazard hamlet bounded on the south by a brown stretch of the Arkansas (pronounced "Ar-kan-sas") River, on the north by a highway, Route 50, and on the east and west by prairie lands and wheat fields. After rain, or when snowfalls thaw, the streets, unnamed, unshaded, unpaved, turn from the thickest dust into the direst mud. At one end of the town stands a stark old stucco structure, the roof of which supports an electric sign - dance - but the dancing has ceased and the advertisement has been dark for several years. Nearby is another building...
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...In Cold Blood Truman Capote I. The Last to See Them Alive The village of Holcomb stands on the high wheat plains of western Kansas, a lonesome area that other Kansans call "out there." Some seventy miles east of the Colorado border, the countryside, with its hard blue skies and desert-clear air, has an atmosphere that is rather more Far West than Middle West. The local accent is barbed with a prairie twang, a ranch-hand nasalness, and the men, many of them, wear narrow frontier trousers, Stetsons, and high-heeled boots with pointed toes. The land is flat, and the views are awesomely extensive; horses, herds of cattle, a white cluster of grain elevators rising as gracefully as Greek temples are visible long before a traveler reaches them. Holcomb, too, can be seen from great distances. Not that there's much to see simply an aimless congregation of buildings divided in the center by the main-line tracks of the Santa Fe Rail-road, a haphazard hamlet bounded on the south by a brown stretch of the Arkansas (pronounced "Ar-kan-sas") River, on the north by a highway, Route 50, and on the east and west by prairie lands and wheat fields. After rain, or when snowfalls thaw, the streets, unnamed, unshaded, unpaved, turn from the thickest dust into the direst mud. At one end of the town stands a stark old stucco structure, the roof of which supports an electric sign - dance - but the dancing has ceased and the advertisement has been dark for several years. Nearby is another building...
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...___________________________ LIVING HISTORY Hillary Rodham Clinton Simon & Schuster New York • London • Toronto • Sydney • Singapore To my parents, my husband, my daughter and all the good souls around the world whose inspiration, prayers, support and love blessed my heart and sustained me in the years of living history. AUTHOR’S NOTE In 1959, I wrote my autobiography for an assignment in sixth grade. In twenty-nine pages, most half-filled with earnest scrawl, I described my parents, brothers, pets, house, hobbies, school, sports and plans for the future. Forty-two years later, I began writing another memoir, this one about the eight years I spent in the White House living history with Bill Clinton. I quickly realized that I couldn’t explain my life as First Lady without going back to the beginning―how I became the woman I was that first day I walked into the White House on January 20, 1993, to take on a new role and experiences that would test and transform me in unexpected ways. By the time I crossed the threshold of the White House, I had been shaped by my family upbringing, education, religious faith and all that I had learned before―as the daughter of a staunch conservative father and a more liberal mother, a student activist, an advocate for children, a lawyer, Bill’s wife and Chelsea’s mom. For each chapter, there were more ideas I wanted to discuss than space allowed; more people to include than could be named; more places visited than could be described...
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