Implementing Effective Order Sets in Electronic Health Records
Effective order sets in electronic health records (EHRs) play a crucial role in enhancing patient safety, care quality, and treatment efficiency through the implementation of best practices. Coordination of care is well-supported by these order sets, ultimately impacting the overall health status of populations.
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Configuring Electronic Health Records Building Order Sets This material (Comp 11 Unit 4) was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0001. This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/.
Definition Two order sets Collections of pre-formed orders Groups of orders to manage a disease state or for a procedure Computerized order entry Collections of predefined orders Speed up process Reduce errors CPOE Confirmation and Maintenance resource intensive 2
Benefits Implements evidence based clinical knowledge Reduces errors and improves quality of care Reduces variability in health care processes Improves efficiency 3
Costs Time consuming Requires expertise Must be maintained (reviewed to incorporate most current research) 4
Types Locally developed sets Custom development and programming Specific tools for authoring and displaying sets Standardized sets Nationally developed for common disease states or procedures Interest and dialogue in creating standards 5
Building Order Sets Summary Implementing effective order sets is an essential tool in configuring EHRs to meet the standards of meaningful use Order sets directly impact patient safety, quality of care, and efficiency of treatment Coordination of care is supported through the implementation of best practices which, impacts the health status of populations 6
Building Order Sets References - 1 References Amatayakul MK. Electronic health records: A practical guide for professionals and organizations. 4th ed. Chicago IL: AHIMA; 2009. Ash, Joan S., Stavri, P Zo , Kuperman, Gilad J . The Practice of Informatics: Synthesis of Research Paper: A Consensus Statement on Considerations for a Successful CPOE Implementation . J Am Med Inform Assoc 2003;10:229-234 doi:10.1197/jamia.M1204 Bobb, Anne M., Payne, Thomas H., Gross, Peter A . Focus on Computerized Provider Order Entry (CPOE): Viewpoint Paper: Viewpoint: Controversies Surrounding Use of Order Sets for Clinical Decision Support in Computerized Provider Order Entry. J Am Med Inform Assoc 2007;14:41-47 doi:10.1197/jamia.M2184. Carter JH. Electronic health records: A guide for clinicians and administrators. 2nd ed. Philadelphia: ACP Press; 2008. Eichenwald Maki S, Petterson B. Using the electronic health record. Canada: Delmar Cengage Learning; 2008. Hebda T, Czar P. Handbook of informatics for nurses & healthcare professionals. 4th ed. New Jersey: Pearson; 2009. 7
Building Order Sets References - 2 References Lehman HP, Abbot PA, Roderer NK, Rothschild A, Mandell SF, Ferrer JA, et al, editors. Aspects of electronic health record systems. U.S.A: Springer; 2006. McClay JC, Campbell JR, Parker C, Hrabak K, Tu SW, Abarbanel R./AMIA. Structuring order sets for interoperable distribution [article on the internet]. C2006. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1839584/. Sheff R./ HCPro. Medical informatics: order sets are a medical staff leader s best friend. (July 22, 2009). Medical Staff Leader Insider. 30. 8
Configuring Electronic Health Records Building Order Sets This material was developed by Oregon Health & Science University, funded by the Department of Health and Human Services, Office of the National Coordinator for Health Information Technology under Award Number 90WT0001. 9
