Title :
An XML model that enables the development of complex order sets by clinical experts
Author :
Fiol, Guilherme Del ; Rocha, Roberto A. ; Bradshaw, Richard L. ; Hulse, Nathan C. ; Roemer, Lorrie K.
Author_Institution :
Intermountain Health Care, Salt Lake City, UT, USA
fDate :
6/1/2005 12:00:00 AM
Abstract :
Medication errors are significant and well-known problems in health care. Despite the evidence supporting the use of computerized physician order entering (CPOE) to help reduce medication errors, only a small number of hospitals in the U.S. have successfully implemented a CPOE system. Different authors have indicated that the utilization of order sets derived from best-practice standards can reduce medication errors and improve physicians´ acceptance of CPOE systems. However, a variety of issues related to the development and continuous maintenance of best-practice order sets still need to be understood. This paper presents a model that supports an order set development process driven by clinical experts. Model requirements and details are presented and discussed.
Keywords :
health care; knowledge based systems; knowledge representation languages; medical information systems; page description languages; clinical expert; complex order set; computerized physician order entering; extensible markup language model; health care; knowledge base maintenance; knowledge management; knowledge representation; medication error; order set development process; physician acceptance; Biomedical informatics; Cities and towns; Collaboration; Computer errors; Drugs; Hospitals; Medical diagnostic imaging; Medical services; Physics computing; XML; Computerized physician order-entry (CPOE) system; extensible markup language (XML); knowledge base maintenance; knowledge management; knowledge representation; Computer Simulation; Humans; Information Systems; Medical Errors; Prescriptions, Drug; Programming Languages;
Journal_Title :
Information Technology in Biomedicine, IEEE Transactions on
DOI :
10.1109/TITB.2005.847200