Hi, need to submit a 1000 words paper on the topic Developing and Implementing Clinical Decision Support for Use in a Computerized Prescriber-Order-Entry System. In the past, medication errors have been troubling the organization, and this would be a step towards improvement with quality, patient safety, cost-effectiveness, and greater efficiency. The system selected should be user-friendly and involve training and creating awareness before implementing it. The organization should be spending on the implementation, and once the system is stabilized, should further consider upgrading the system. INTRODUCTION OF THE PROBLEM/ANALYSIS The hospital proposed to implement the CPOE system in a 750-bedded tertiary care hospital that has specialty and super-specialty services. The hospital has been providing medical and nursing care to people since the last 25 years, and has been accredited by the JCAHO. The management and owners of the hospital has been changing hands several time, but the overall focus of the hospital has been on quality care, patient safety initiatives and using technology. The CPPE implementation project has the objective of ensuring patient safety by changing prescribing and administration of medication orders from the handwritten-based or manual processes to the computerised and paperless computerized physician order entry (CPOE) system. As the chances of medication error would be reduced through lesser problems during transcription and using system checks, the patient safety would be improved. Leapfrog Group in 2004, first suggested the use of the electronic prescription system, as the human factors for error are effectively prevented or reduced (The Leapfrog Group, 2011). The aim of this project would be to transform the current manual prescriptions to an electronic format, but the same would be faced with a lot of challenges and resistance from the specialists and practitioners of the hospital (Kopec, 2001). To overcome these problems, it is proposed to develop the program in coordination with the physicians and specialists, conduct extensive training and awareness programs, procure all resources and support system vital to the functioning of the system, and resolve all issues at hand so that the implementation goes on smoothly. The management also proposes to incrementally implement upgrades and system advancements (Metzger, 2001). There is a major problem occurring in the US Healthcare system. It is found that 60% of the errors that occur by the physician in fact can be prevented by having computerised processes and system checks (Maganelli, 2009). In this hospital, in the past medication errors have been plaguing the system mainly because, the hostile follows a manual system without any system checks to identify and prevent medication errors. Most drugs that are administered during prescription are actually for benefiting the patient, but unintentional errors can cause adverse events for the patient (Dixon, 2009). On the advice of the IOM, many hospitals have converted to computerised systems for order placement so that health technologies can help remove errors (Virginia Board of Health Professionals, 2010). The CPOE system can also help improve the efficiencies concerned with medication administration (Dixon, 2009). With this application, the healthcare provider can place orders for medications either in an inpatient or outpatient setting.


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