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
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
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.
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