Can CPOE Based on Electronic Order Sets Cause Unintended Consequences (Expensive and Unnecessary Tests) at the Emergency Department?
Stud Health Technol Inform
; 290: 192-196, 2022 Jun 06.
Article
em En
| MEDLINE
| ID: mdl-35672998
ABSTRACT
Computerized Provider Order Entry (CPOE) systems may cause unintended consequences. This study aimed to describe the on-going system for CPOE order sets, and to explore an economic evaluation at the Emergency Department. First, we developed a costs dashboard which showed us the significant and excessive use of medical tests per consultation. We identified the top 10 most widely used and most expensive tests. Additionally we noticed that the labs seemed to continually increase. Then, we found that 27% of the consultations have at least one item of laboratory practice between January and February 2020, and this represents more than 80% of the consultation costs. Health care spending has reached epic proportions globally. We think that it is time to rethink effective strategies. Maybe it is time to deactivate/remove electronic order sets (EOSs) and the functionality to develop and create their own "private" order sets, in order to eliminate waste and inefficiencies.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Sistemas de Registro de Ordens Médicas
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article