Evaluationof the Computerized Order Entry System
Computerizedphysician order entry is a technique in the health sector thatenables entry of instructions and other patients’ informationelectronically instead of using the paper charts (Nuckolsetal.,2014).Some of the benefits associated with this initiative includereduction of the potential error, reduction of time to care delivery,order accuracy, and making the crucial information readily available(Nuckolsetal.,2014).The expansion of this order entry system will result in satisfactorybenefits to the physicians, clinicians, pharmacists, and thepatients.
Thefundamental question in the evaluation of this project is: “Willthe activities of the program yield the intended and sustainableoutcomes?” The hospital plans to make changes in the ways ofadministering nursing services to the patients. For efficiency, theconcerns by all the stakeholders must be taken into consideration.Errors in the medication process by the health workers that wereobserved in the past must be eliminated by the implementation of thistechnology. Additionally, the changes made must conform to thestandards of The Joint Commission Accreditation. The project can onlybe considered successful only if the demands for conformity andmedication error eradication are met. The digital order entry systemshould offer better short-term and long-term outcomes for the companysustainably. This approach provides an efficient method of storingpatient information since the scanned data is readily recorded inelectronic format that can be converted to other types of files(Murray-Weiretal.,2014).On the other hand, the IT department, responsible for the project’simplementation, fears that the process will be very expensive due tothe potential damages of the equipment such as scanners. Theequipment requires regular checkup after installation to reduce casesof repair and replacement due to breakages (Murray-Weiretal.,2014).
Thestakeholders in this evaluation are the patients, health workers, andthe family and friends of the sick. All the community members must beinvolved in providing feedback concerning the new project.Furthermore, explaining to the patients and the rest of the communitymembers about the implementation of the project is necessary.Consequently, the involvement of all the stakeholders in theplanning, decision-making, and implementation of the changes in ordersystem would ensure sustainable progress (Nuckolsetal.,2014).Health Care Departments and various agencies that fund hospitals mustalso be well-informed concerning the initiative. Active communicationamong all the stakeholders will be maintained through self-completionof questionnaires, focus groups, and organized interviews.
Inthis study, the most relevant theories are the explanatory and changetheories (Olsonetal.,2015). These two principles are significant in the program evaluationand planning processes. This initiative adopts the social andbehavioral ideas and approaches to fit the concerns raised by the toplevel management and the health workers, as well as the patients.Understanding the theories of health service promotion and applyingthem in the practical activities for solving problems is verycrucial. The explanatory theory helps in this study to identify anddescribe the factors that contribute to the existing problems (Olsonetal.,2015). Moreover, the issues that are associated with potentialadverse impacts are also analyzed carefully. The outcome of theproper application of the explanatory theory is the formulation ofmodifiable factors like self-efficacy, lack of resources, and thesocial support. On the other hand, the change theory helps in thedevelopment of health promotion interventions. In this theory, theconcepts which can be translated into program strategies and messagesare spelled out. Explicit assumptions can eventually be developedconcerning the working of the program under implementation.Incorporation of these theories in the process creates an awarenessthat allows all the participants to appreciate the modifications. Thehealth workers are capable of performing their duties adequatelydespite the changes made.
Forconsistency and reliability of the project, evaluation of the extentat which stakeholders play their specific roles is a necessity(Nuckolsetal.,2014).A reward and accountability system serves as a firm foundation toencouraging the key players in the project implementation to remaincompetent. On the other hand, the objective of benefiting all thestakeholders must also be measured against the progress. This projectshould offer maximum benefits to the patients and the hospitalemployees as expected. The encountering of the medical data error inthe health facility must be recorded and reviewed after a period ofone month. Additionally, this approach serves as a perfect measure ofthe level of satisfaction among the different groups of stakeholders.Collected data shows how well the program is effective. The project’ssustainability may be predicted using this data. Frequent auditing ofthe project assists in the identification of the challenges that mayhinder the adequate performance of the initiative. During the audit,elements such as the quality of service delivery regarding the timetaken could be measured to determine the exact value of the changesmade in the order system. Availability of data after the initiationof the project may serve as an element of customers’ and workers’satisfaction in the facility. Finally, the attitude of the patientstowards the changes is also a good measure of the effectiveness ofthe program.
Inconclusion, as evident in this paper, the installation of acomputer-based order system has a significant impact in the hospital.It helps boost accuracy in the administering of the medication,provides immediate information for every patient, saves time, andmakes the work of the health worker easy. However, for these benefitsto be felt the stakeholders’ responses must be taken intoconsideration. Carrying out of audits and training the employees isalso necessary for efficiency.
Murray-Weir,M., Magid, S., Robbins, L., Quinlan, P., Sanchez-Villagomez, P., &Shaha, S. H. (2014). A computerized order entry system was adoptedwith high user satisfaction at an orthopedic teaching hospital. HSSJournal®, 10(1),52-58.
Nuckols,T. K., Smith-Spangler, C., Morton, S. C., Asch, S. M., Patel, V. M.,Anderson, L. J., & Shekelle, P. G. (2014). The effectiveness ofcomputerized order entry at reducing preventable adverse drug eventsand medication errors in hospital settings: a systematic review and meta-analysis. Systematicreviews, 3(1),1.
Olson,J., Hollenbeak, C., Donaldson, K., Abendroth, T., & Castellani,W. (2015). Default settings of computerized physician order entrysystem order sets drive ordering habits. Journalof pathology informatics, 6.