Efficacy of education followed by computerized provider order entry with clinician decision support to reduce red blood cell utilization

Transfusion ◽  
2015 ◽  
Vol 55 (7) ◽  
pp. 1628-1636 ◽  
Author(s):  
Gabriel S. Zuckerberg ◽  
Andrew V. Scott ◽  
Jack O. Wasey ◽  
Elizabeth C. Wick ◽  
Timothy M. Pawlik ◽  
...  
Keyword(s):  
Decision Support ◽  
Blood Cell ◽  
Red Blood Cell ◽  
Order Entry ◽  
Computerized Provider Order Entry

scholarly journals Effectiveness of Provider Education Followed by Computerized Provider Order Entry Alerts in Reducing Inappropriate Red Blood Cell Transfusion

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Vijay M. Patel ◽  
Anna W. Rains ◽  
Christopher T. Clark
Keyword(s):  
Blood Cell ◽  
Red Blood Cell ◽  
Formal Education ◽  
Low Cost ◽  
Red Blood Cell Transfusion ◽  
Provider Education ◽  
Order Entry ◽  
Computerized Provider Order Entry ◽  
Computerized Order Entry ◽  
Transfusion Guidelines

To reduce the rate of inappropriate red blood cell transfusion, a provider education program, followed by alerts in the computerized provider order entry system (CPOE), was established to encourage AABB transfusion guidelines. Metrics were established for nonemergent inpatient transfusions. Service lines with high order volume were targeted with formal education regarding AABB 2012 transfusion guidelines. Transfusion orders were reviewed in real time with email communications sent to ordering providers falling outside of AABB recommendations. After 12 months of provider education, alerts were activated in CPOE. With provider education alone, the incidence of pretransfusion hemoglobin levels greater than 8 g/dL decreased from 16.64% to 6.36%, posttransfusion hemoglobin levels greater than 10 g/dL from 14.03% to 3.78%, and number of nonemergent two-unit red blood cell orders from 45.26% to 22.66%. Red blood cell utilization decreased by 13%. No additional significant reduction in nonemergent two-unit orders was observed with CPOE alerts. Provider education, an effective and low-cost method, should be considered as a first-line method for reducing inappropriate red blood cell transfusion rates in stable adult inpatients. Alerts in the computerized order entry system did not significantly lower the percentage of two-unit red blood cells orders but may help to maintain educational efforts.

Verhindern von unerwünschten Arzneimittelereignissen mit Hilfe von elektronischen Entscheidungsunterstützungssystemen

2015 ◽  
Vol 72 (11/12) ◽  
pp. 693-700
Author(s):  
Ali Reza Salili ◽  
Felix Hammann ◽  
Anne B. Taegtmeyer
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Computerized Physician Order Entry ◽  
Order Entry ◽  
Computerized Provider Order Entry ◽  
Unerwünschte Arzneimittelereignisse ◽  
Physician Order Entry

Zusammenfassung. Unerwünschte Arzneimittelereignisse sind ein grosses Risiko für Patienten und ein alltägliches klinisches Problem mit potentiellen Haftungsfolgen. CPOE-Systeme („Computerized Physician Order Entry“ bzw. „Computerized Provider Order Entry“-Systeme) in Kombination mit elektronischen Systemen zur klinischen Entscheidungsunterstützung („Clinical Decision Support System“ = „CDSS“) sind im Trend und zielen nicht nur auf die Reduktion von Verordnungsfehlern, sondern ermöglichen eine rasche Reaktion auf potentiell vermeidbare Arzneimittelinteraktionen. Der effektive Nutzen solcher Systeme ist aber bis dato noch nicht definitiv geklärt. Dieser Artikel fokussiert auf den aktuellen Stand der Entwicklung von CPOE-/CDS-Systemen, deren Nutzen und Risiken, Zukunftsperspektiven und Verbesserungsmöglichkeiten.

How I use clinical decision support to improve red blood cell utilization

Transfusion ◽  
2016 ◽  
Vol 56 (10) ◽  
pp. 2406-2411 ◽  
Author(s):  
Lawrence Tim Goodnough ◽  
Steven Andrew Baker ◽  
Neil Shah
Keyword(s):  
Decision Support ◽  
Blood Cell ◽  
Clinical Decision Support ◽  
Red Blood Cell ◽  
Clinical Decision
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