Maybe you could adapt this to CPOE: We have a test in OE called AOT (Add-on Test). OE users order it only for labs and only when they know we already have specimens. There is a CDS which is free-text for what to add. I didn't use a pointer because I wanted them to be able to add several tests at once if they needed to. It interfaces to LAB and it prints in the lab on a printer that is monitored all the time.
The lab checks the order and determines whether they can run the tests, given the types of specimens, collection and handling issues, etc. If the can add the tests, they add them to the existing requisition. Then they result the AOT as D for done. If they can't do the tests, the result it as ND for not done, and make a followup phone call to the nursing unit, documenting with internal comments. We set this up to get rid of the hassle with the nursing unit needing to call, lab scrambling to find specs while the nursing unit is on the phone, documenting the read-backs, and all that wasted time. Now, nursing and lab don't have to get on the phone unless the order can't be completed. There is a nice audit trail in OE and the corresponding reports in LAB to show the sequence of events. Nursing and Lab users have been extremely satisfied with this system. Judy Hill >>> Sheral Graham <[EMAIL PROTECTED]> 12/27/2006 1:56:53 PM >>> I've seen success with an order called "ADD ON", which has a free text query. Then its in the lab's ballpark to decide if there needs to be a new draw. Sheral Graham Senior Consultant Healthlink, a Division of IBM IBM Global Business Services cell: 541-680-3239 [EMAIL PROTECTED] "HEIM, NICOLE" <[EMAIL PROTECTED]> Sent by: [email protected] 12/27/2006 04:42 AM To <[EMAIL PROTECTED]> cc Subject [MEDITECH-L] CPOE and add on lab testing Good Morning, We are Magic 5.5 and are starting planning for CPOE next year. I was wondering how people are handling add on lab orders with CPOE. It is unrealistic to assume that a provider is going to be knowledgeable of the hundreds of different add on criteria to determine whether to order a test as a new draw or a test called add on that allows them to comment what test is requested for add on. Please let me know if you have a creative solution to this, or how your lab is handling the combining of these orders. Thank you, Nicole A. Heim Clinical Systems Analyst Milford Regional Medical Center phone: 508-422-2971 email: [EMAIL PROTECTED] =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. To check the status of the meditech-l, visit MTUsers.NET. For help, email [EMAIL PROTECTED] ______________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
