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Medication computerised provider order entry (CPOE) has been shown to decrease errors and is being widely adopted.
20 As computerised provider order entry systems are increasingly adopted in hospitals, an opportunity exists to incorporate clinical decision support into these systems.
The facility hospital and clinics use the VA computerised patient record system (CPRS), a HIMSS Stage 7 electronic record that supports computerised provider order entry.
Computerised provider order entry (CPOE) has long been considered and demonstrated to be a high-leverage tool for preventing medication errors, and incentives are being provided to accelerate its adoption.
34 In 2008, a mandatory, computerised, decision support enabled VTE risk stratification order set was implemented in the computerised provider order entry system at the Johns Hopkins Hospital to recommend guideline appropriate, service specific (eg, medicine, general surgery, trauma, etc) prophylaxis for an individual patient's risk stratum.
For example, Han et al documented an increased mortality with the introduction of computerised provider order entry (CPOE) into their Neonatal ICU.
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- The absence of a well-developed and computerised information system at the MoES level, shared by all providers of alternative services and relevant agencies, is an obstacle towards developing effective internal and external monitoring mechanisms.
For example, computerised information systems can generate "pop-up" reminders for healthcare providers, but poor delivery system design characterised by unclear roles among health staff may result in no appropriate action being taken.
This is due primarily to the variability in search terms and dates and more specifically inclusion and exclusion criteria (for example, RCTs versus RCTs plus quasi-experiments; physicians only versus all providers; prescribing only versus the full spectrum of clinical care; computerised advice delivered in electronic formats versus other electronic and/or paper-based formats).
New Zealand is in a strong position to analyse patterns of childhood morbidity due to universal enrolment with a primary care provider at birth, every individual having a unique health number and a highly computerised primary care system containing detailed electronic consultation records.
Back then the Better Alternative Trading System BATSS) exchange was just a set of computer algorithms in the head of a man named Dave Cummings, who first computerised his own wheat-trading business and then expanded to accommodate equities.Now BATS is a big provider of market liquidity.
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