Through out the course, we have talked to you about various benefits of the
Electronic Health Records. It is time that you should get the other side
of the story. Please read the following articles:
Advanced learners like you,
often need different ways of understanding a topic. Reading is just one way of
understanding. Another way is through writing about what you have read.
The enclosed assessment is designed to get you to think more about the concepts
taught in this session.
What evidence is there that adverse drug effects go down
after implementation of electronic health records with computerized
physician order entry. Provide the rate before and after the
implementation of CPOE
In some studies, the rate of medication errors after
implementation of CPOE increases or fails to decrease, what do these studies
give as the reason for the effect of CPOE on medication errors (please do
not confuse studies on medication error with studies on mortality rates).
Discuss the difference of the two studies of impact of
CPOE on mortality. In particular, list what did one study do that the
other had not done so that ICU mortality did not go up.
List 9 ways in which CPOE could lead to unexpected
results.
HIMSS Guide: Improving Outcomes with Clinical Decision Support: An
Implementer’s Guide is a new resource designed to help healthcare
organizations use clinical decision support (CDS) to measurably improve key
healthcare outcomes such as the quality, safety, and cost-effectiveness of
care delivery. The guide can be purchased through the HIMSS online store.
Make a narrated Power Point slides regarding what you have learned about the
evidence on impact of EHR on efficiency and quality of care. Please do not
provide opinions but review the evidence presented to you in the reading in the
course and in the above readings. Prepare your slides as if you are
reporting to the CEO of a hospital or clinic thinking through adoption of an
EHR.
Be brief: do not exceed 10 slides or 10 minutes of narration
Cite your work in smaller font on each slide so I can trace your
arguments to its source. Do not present opinions but data.
Be clear. Do not extrapolate from studies done in a clinic to
studies in hospitals and vice versa.
Be organized. Give an overview of what you are going to talk
about, present your points and make a summary at the end.
Be visual. Use charts and graphs from your reading and cite your
work.
Post your work on a public web and send the URL to the instructor or provide
your work on a compact disk to the instructor.
See review of the evidence on EHRs by students Alex, Meaghan and
Shirin:
Campbell
EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH.