Computerized Physician Order Entry of Medications and Clinical Decision Support Can Improve Problem List Documentation Compliance
Abstract
Objective: The Problem List is a Key and Required Element of the Electronic Medical Record (EMR). Problem Lists May Contribute Substantially to Patient Safety and Quality of Care. Physician Documentation of the Problem List is Often Lower Than Desired. Methods Are Needed to Improve Accuracy and Completeness of the Problem List. Design: An Automated Clinical Decision Support (CDS) Intervention Was Designed Utilizing a Commercially Available EMR with Computerized Physician Order Entry (CPOE) and CDS. the System Was based on Alerts Delivered during Inpatient Medication CPOE that Prompted Clinicians to Add a Diagnosis to the Problem List. Each Alert Was Studied for a 2-Month Period after Implementation. Measurements: Measures Included Alert Validity, Alert Yield, and Accuracy of Problem List Additions. Results: At a 450 Bed Teaching Hospital, the Number of Medication Orders Which Triggered Alerts during All 2-Month Study Periods Was 1011. for All the Alerts, the Likelihood of a Valid Alert (An Alert that Occurred in Patients with One of the Predefined Diagnoses) Was 96 ± 1%. the Alert Yield, Defined as Occuring When an Alert Led to Addition of a Problem to the Problem List, Was 76 ± 2%. Accurate Problem List Additions, Defined as Additions of Problems When the Problem Was Determined to Be Present by Expert Review, Was 95 ± 1%. Conclusion: The CDS Problem List Mechanism Was Integrated into the Process of Medication Order Placement and Promoted Relatively Accurate Addition of Problems to the EMR Problem List. © 2008 Elsevier Ireland Ltd. All Rights Reserved.
Recommended Citation
W. L. Galanter et al., "Computerized Physician Order Entry of Medications and Clinical Decision Support Can Improve Problem List Documentation Compliance," International Journal of Medical Informatics, vol. 79, no. 5, pp. 332 - 338, Elsevier, May 2010.
The definitive version is available at https://doi.org/10.1016/j.ijmedinf.2008.05.005
Department(s)
Chemistry
Keywords and Phrases
Clinical decision support; CPOE; Medical records; Problem lists; Problem-oriented
International Standard Serial Number (ISSN)
1386-5056
Document Type
Article - Journal
Document Version
Citation
File Type
text
Language(s)
English
Rights
© 2023 Elsevier, All rights reserved.
Publication Date
01 May 2010
PubMed ID
18599342
Comments
Agency for Healthcare Research and Quality, Grant None