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CPOE Smart Pumps Handheld MCA PACS Clinical Pathway Clinical Decision Support Single Sign-On Digital Hospitals Electronic Medication Record Remote Monitoring Pharmacy Automation Home Health Care RFID Speech Recognition Infection Monitoring Smart communication devices Clinical Documentation Wireless Network Infrastructure
Source: Chaudhry B et al, “Systematic Review: Impact of Health Information Technology on Quality, Effi ciency, and Costs of Medical Care,” Annals of Internal Medicine, May 16, 2006, Volume 144, Number 10. Relative Decrease after CPOE Implementation
Clinical Pathway- Intelligently Interpreting Patient Data Patient data interpreted and summarized Orders recommended Physician documentation screen Relevant patient information displayed
Decision Support Systems Specify age, group, gender, status, region and specialty or subspecialty Click for list of likely diagnoses for the features entered Enter clinical features in free text form
Source: Clinical Advisory Board interviews and analysis. Generating a List of Likely Suspects Provides diagnoses related by clinical characteristics ‘ Relevance bar’ provides degree of match between query and Isabel database Provides drugs that could cause clinical features as entered Clicking on diagnosis reveals matched sub-diagnoses
Mobile Computing and RFID Implementation Patient record loads automatically when RFID bracelet detected System connects tablet PC to EMR Caregiver Verification Individual RFID tags difficult to duplicate, ensuring secure automatic clinician login Medication Verification Medication doses matched with physician order using less expensive bar coding technology Patient Verification RFID wristbands scanned, speeding process and reducing chances of wrong patient, wrong drug RFID does not require line of sight, obviating need to disturb patient