This sounds like an implementation issue. The sentence in the article that I don't understand is: "no ICU-specific order sets had been programmed at the time of CPOE implementation, but instead were developed over time after CPOE implementation." Does this imply that procedures that were ordered manually before the system was implemented somehow were overlooked after the implementation?
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Gregory Woodhouse Sent: Monday, December 05, 2005 3:29 PM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] Increased Mortality after CPOE Implementation On Dec 5, 2005, at 12:16 PM, Ignacio Valdes wrote: > > The December 2005 issue of the journal Pediatrics has a report that > found a coincident increase in mortality after implementing a > 'Commercially Sold' Computerized Physician Order Entry (CPOE) system. > The increased mortality may have been due to delays in medication and > IV administration in the ICU caused by the new > system: '...Although CPOE technology holds great promise as a tool to > reduce human error during health care delivery our unanticipated > finding suggests that when implementing CPOE systems, institutions > should continue to evaluate mortality effects, in addition to > medication error rates, for children who are dependent on time- > sensitive therapies.' The study notes that mortality rate studies on > CPOE as opposed to adverse drug events(ADEs) studies has not been done > before. The CPOE in the study DID reduce ADE's as expected. > > Additional summary of the article here: http://www.linuxmednews.com/ > 1133812163/index_html > > Is "commercial sold" a coincident factor here? I'd look at this with a bit of skepticism. Nevertheless, market pressures and lack of regulation could easily lead to products being under-engineered. In any case, going from 2.8% to 6.57% presents a pretty "healthy" (ahem) jump in mortality. === Gregory Woodhouse [EMAIL PROTECTED] "The most profound technologies are those that disappear." --Mark Weiser ------------------------------------------------------- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://ads.osdn.com/?ad_id=7637&alloc_id=16865&op=click _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members ------------------------------------------------------- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://ads.osdn.com/?ad_id=7637&alloc_id=16865&op=click _______________________________________________ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
