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UHN physicians enter medication orders online

TORONTO – General internal medicine physicians at University Health Network’s Toronto General Hospital are now placing 95 percent of medication orders online – an essential last step forward in the full activation of computerized physician order entry (CPOE).

Long-time users of Misys computer-based patient record solution, the physicians are now incorporating its CPOE clinical decision support tools to support UHN’s Patient Safety Initiative.

Misys CPR is a core component of Misys Optimum, a family of solutions and web technologies designed specifically to connect community-based caregivers to acute-care organizations and achieve meaningful electronic data sharing.

“University Health Network is one of the few large-size healthcare organizations worldwide excelling in implementing an electronic medication management process that encourages above-standard practice and safe care for their patients,” said Matthew Morgan, MD, vice president of clinical informatics, Misys Healthcare Systems (pictured at left).

“Medication order entry is the area of greatest resistance in deploying full CPOE, and we expect this milestone implementation to expedite physician adoption of order entry,” said Matthew Anderson, vice president and chief information officer, University Health Network, one of Canada’s largest teaching hospitals.

“Clinicians understand that the safest process today guaranteeing the right patient, right drug, right dose, right time and right route is implementing a ‘closed-loop’ online medication management process.

With the implementation of the electronic medication administration record in early fall, UHN is relying on Misys CPR’s integrated medication management solution to realize its strategic EPR vision.”

Physicians, nurses and other clinicians at UHN have been using Misys CPR to enter orders for radiology exams and laboratory tests since 1988. Since June 7, select physicians at Toronto General Hospital have been placing medication orders online. UHN plans to expand medication order entry to all physicians employed at Toronto General Hospital, Toronto Western Hospital and Princess Margaret Hospital.

One workflow streamlining benefit resulting from medication order entry is the elimination of a time-consuming duplicate activity: UHN pharmacists re-entering medication orders into the pharmacy departmental system.

Because Misys CPR also interfaces to UHN’s departmental pharmacy solution through bi-directional interface technology, “We have one point of order entry, and that is through our physicians, minimizing transcription errors, thereby creating the safest medication administration process,” said Dafna Carr, project director, patient care management systems, University Health Network.

To maximize the value of Misys CPR, UHN deployed the Misys Clinical Desktop Java-based graphical user interface (GUI). “Our physicians quickly endorsed the new GUI desktop’s intuitive look and feel and streamlined order screen navigation design that enables quick access from one patient’s record to the next, and offers customized order screens with departmental or diagnosis specific order sets,” said Carr. “Misys’ ability to develop a clinician friendly GUI desktop is a crucial success factor in increasing physician buy-in.”

University Health Network is a major landmark in Canada’s healthcare system, and a teaching hospital of the University of Toronto. The organization brings together the talent and resources that make it an international leader in healthcare.

The health institution has a total of 823 licensed beds that accommodate approximately 29,028 inpatients annually. Building on the strengths and reputation of each of its three hospitals, Toronto General Hospital, Toronto Western Hospital and Princess Margaret Hospital serve more than 73,300 emergency department and 875,600 ambulatory visits annually. Additional information is available at