Childrens Hospital Integrated Patient Electronic Record System Continuation (CHIPERS)
Technical Report,10 Sep 2010,09 Sep 2015
Childrens Hospital and Research Center Oakland Oakland United States
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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 sepsisshock, or patients with complex nutritional needs, is unknown. Some studies have shown that the introduction of EMRCPOECDS actually worsens patient outcomes, particularly in the intensive care unit.