Accession Number : AD1002215


Title :   Childrens Hospital Integrated Patient Electronic Record System Continuation (CHIPERS)


Descriptive Note : Technical Report,10 Sep 2010,09 Sep 2015


Corporate Author : Childrens Hospital and Research Center Oakland Oakland


Personal Author(s) : Flori,Heidi R


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/1002215.pdf


Report Date : 01 Dec 2015


Pagination or Media Count : 80


Abstract : Electronic medical record (EMR) systems are being deployed extensively throughout the United States. In addition to storing clinical data, EMR systems integrate computerized order entry(CPOE). The integration of CPOE into the EMR also provides the opportunity to include clinical decision support (CDS) systems, where diverse clinical data are used to provide algorithm-based feedback to caregivers. CPOE with integrated CDS has been shown to improve some aspects of medical care such as accuracy of pharmacy orders. However, whether CDS can improve care in more complex, time-sensitive areas such as the management of patients with severe sepsis/shock, or patients with complex nutritional needs, is unknown. Some studies have shown that the introduction of EMR/CPOE/CDS actually worsens patient outcomes, particularly in the intensive care unit.


Descriptors :   decision aids , Decision support systems , Pediatrics , Sepsis , Emergency medicine , RECORDS MANAGEMENT


Distribution Statement : APPROVED FOR PUBLIC RELEASE