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.
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.
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.
149 151 Third, there is an urgent need to integrate evidence-based diagnostic investigations more effectively into computerised order entry systems.
Effective interventions directed at the former include computerised order entry with effective decision support 33 and involvement of clinical pharmacists.
The interventions had been evaluated in studies from 3 months to 3 years, and most studies involved a comparison of computerised drug order entry systems, with or without clinical decision support systems (CDSS), and/or with handwritten prescriptions.
20 As computerised provider order entry systems are increasingly adopted in hospitals, an opportunity exists to incorporate clinical decision support into these systems.
The next evening the computerised counting system crashed, and the Independent Electoral and Boundaries Commission (IBEC) then ordered returning officers to bring in person paper copies of their constituency's tallies to the counting centre in the capital.
The simulation laboratory was equipped with theatre-style rooms, one-way glass and cameras (see online supplementary figures A1 and A2 in appendix 1 ) that allowed realistic simulation of an ambulatory chemotherapy unit, including patient beds, chairs, computerised physician order entry (CPOE) system, intravenous infusion equipment and paperwork.
