Dan...what will be context...primary care/clinics or acute care?? Joseph
On Fri, 2004-10-01 at 17:40, Daniel L. Johnson wrote: > Dear All, > > First of all, this is not an announcement; this is merely conversation, > because Gunther Schadow does not want to make any announcements "until > there is something to announce." > > I am conversing with this list simply because I thought you would all be > encouraged to know that the US Agency for Healthcare Research and > Quality has awarded a grant to Indiana University-Purdue University at > Indianapolis for development of an open-source computerized physician > order entry system, to be led by Gunther Schadow, MD, of the Regenstrief > Institute. Dr. Martha Adams of Duke University and myself have > volunteered to test the implementation of this software. > > Design begins now; implementation is to begin in about a year. > > The plan is to develop a software tool that will provide "decision > support" for physician e-prescribing. This tool will live on a Linux > server and be accessed by users through a browser. > > The formal goals of this project are: > 1: to test the utility of the new FDA-mandated computerized "package > insert" (Dr. Schadow was an FDA consultant in its design). > 2: to use HL7 v3 tools to deliver decision support to > prescribing: default dosing, dosing correction for height, weight, and > renal function, dose checks, contraindication checking, allergy > checking, and drug-interaction and food-drug interaction checking. > 3: to evaluate whether physician efficiency is gained by its use. > Studies have shown approximately a 20-30% loss of physician efficiency > during visits with the use of EHR software; a design goal of this > project is to have the opposite effect. A time-motion study of > physician work during office visits is an important feature of this > project. > 4: Medication errors are the leading cause of adverse medical events. > About half of these occur in prescribing: approximately half of these > involve dosage or frequency errors, half involve prescribing against > contraindications or known interactions or allergy. This tool will be > designed to specifically remediate these errors, estimating that it > could reduce about 2/3 of prescribing errors. > 5: The goal is to have a fully functional tool available for deployment > and use beginning October, 2006. > 6: Gunther is aiming at making this open source. He is interested in > collaborative development, but of course must balance the need to stay > on track with the grant timeline against the ideal of distributed > development. I will of course encourage him to allow collaboration in > development, but for now he's hunkered down in full Project Organization > Mode. > > To repeat: This is *not* an announcement. If there were "something to > announce" it could be an announcement, but as there is now no meat on > the barbecue, no one is currently invited to dine. > > Best wishes, > > Dan Johnson md > Menomonie, WI > > >
