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Two such factors are strategies for seeing to it that the physician uses computerised order entry systems (CPOE) and availability of computerised clinical decision support systems.
Finally, Peruvian ICUs do not have electronic patient records or computerised order entry systems as does the JHH MICU.
Effective interventions directed at the former include computerised order entry with effective decision support 33 and involvement of clinical pharmacists.
149 151 Third, there is an urgent need to integrate evidence-based diagnostic investigations more effectively into computerised order entry systems.
Both wards used paper medical records and medication charts, but the hospital had a computerised order entry system for ordering of diagnostic tests and viewing of results as well as ordering of diets, transport, porters and allied health consultations.
This heterogeneity within major AE categories presents a substantial challenge for improvement efforts as each category demands multiple interventions, each of which requires intense effort (eg, implementing computerised order entry, bar-coded medication administration, an effective falls prevention programme and various infection prevention and control strategies).
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The information and communication technologies which will be the focus of this research are: computerised ordering systems; ambulatory electronic medical record systems; and emergency medicine information systems.
We are interested in a broad range of HIT, which include tools to support the management of data (eg, EHRs), support and enhance clinical decision- making (eg, computerised physician order entry and computerised decision support systems) and provide care at a distance (eg, telehealthcare).
Interventions A system for ordering pathology tests and browsing results (computerised physician order entry, CPOE) and a system for requesting radiological examinations and displaying images (picture archiving and communications system, PACS).
The plan for the future should include developments to electronic requesting (computerised patient order entry, CPOE) in connection with CDS systems.
In addition, the quarterly reports coming from communities should be computerised in order to facilitate easy retrieval and analysis.
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