We are having the following issue:

Physician A either writes or electronically enters a medication order
Physician B who is covering for Physician A later either edits or 
discontinues the order in POM

Both are attending physicians who do not require co-signature of orders.

Our OE Parameters are set as follows: Queue Med Edits for Original 
Ordering Physician?  Y 

We set it this way so that if Pharmacy made an edit or nursing made an 
edit to a med order - the ordering doctor would get the order change 
queued to his/her E-Sign list.

However this is causing it to queue orders that were edited by doctors who 
do not require co-signature to the original ordering doctors E-Sign list. 

It is bad enough that it is affecting physicians who are using POM but it 
is also affecting physicians who are not. The physicians are confused and 
annoyed that they have to sign orders that were entered by another 
physician.  We are rolling POM out to our hospitalists and foresee that 
this will be an even bigger issue for them. 

Meditech does not plan to make any changes to allow differentiation of 
E-Sign order edits that were made by non physicians versus edits that were 
made by physicians and were signed by the editing physician.

Have other sites encountered  this and if so - how are you handling it?

Thanks,
Sue


Susan Schooley RN,BS,CNOR
Senior Clinical Systems  Analyst
HIS Department
Union Hospital, Elkton MD 
443-406-1338

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