Chapter 19
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Specialized Electronic Healthcare Information Systems

Author Supplement to Chapter 19


Websites That Expand on Chapter 19's Knowledge


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Bar Coding

Using Barcode Medication Administration to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio. A report from AHRQ that addresses issues including implementation and culture.

Medication Errors Occurring with the Use of Bar-Code Administration Technology Pennsylvania Patient Safety Advisory. 2008 Dec;5(4):122-6. Excellent information - must scroll down narrow window by the text to see entire article.

Patterson, Emily S.; Cook, Richard I.& Render, Marta L. (2002) Improving Patient Safety by Identifying Side Effects from Introducing Bar Coding in Medication Administration. Journal of the American Medical Informatics Association 9(5), 540-553.

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CPOE (Computerized Provider Order Entry)

Leapfrog CPOE Evaluation Tool.

Oldfelt, R. L., Ward, M.W., Schneider, John E., Jaana, Mirou, Miller, Thomas R., Yang. Lei, & Wakefield, & Douglas S. Implementation of Hospital Computerized Physician's Order Entry System in a Rural State: Feasibility and Financial Impact. J Am Med Inform Assoc. 2005 Jan-Feb; 12(1): 20–27. This study estimated the coasts of implementing computerized physician order entry systems in hospitals in a rural state and evaluated the financial implications of statewide CPOE implementation.

Institute for Safe Medicine's Guidelines for Standard Order Sets

Computerized physician order entry. A good definition not only of CPOE, but of terms related to this feature.

Computerized Physician Order Entry in Community Hospitals: Lessons from the Field (2003). Some excellent information from the California Health Care Foundation. Don't let the date fool you, this is still very pertinent information.

Donna Schmidt, Mamie Stalvey, Beverly Bell, and Jane Metzger. CPOE: Getting Order Management Right (2011). Some sage advice, including information on medication reconciliation.

Positive Patient Identifier

Pagliaro, Pasqualepaolo; Turdo, Rosalia & Capuzzo, Enrico. (2009).Patients’ positive identification systems. Pub Med October; 7(4): 313–318. Although this article is about blood transfusions, the principles are much more general.

Using Clinical Data

Needles in a haystack: Seeking knowledge with clinical informatics (Feb 2012). This site has links to two pdf files. The first one, from the health Research Insitute of Price Waterhouse-Coopers, describes the need for implementing clinical informatics based on the premise that the need to affordably manage patient care, strategies for data mining, and conducting and integrating evidence-based research will determine how effectively and affordably or organizations can compete in the 21st century. The second one is charts showing results of a survey of where organizations are in this quest. One must register to download the files, but registration is free.

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Applications and Competencies

Number 2 - PQRI site See and

Number 6 - Leapfrog Group and

Number 7 - Joint Commission

Websites from the Text in Chapter 19


HIMSS Analytics


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Websites from the Reference List in Chapter 19

Kaplan, M. (2008, July 2). Barcoded technology to reduce medication administration has flaws. Retrieved September 25,2010, from

Leapfrog Group. (2009). The Leapfrog Group fact sheet. Retrieved September 25, 2010, from

Lwin, A. K., & Shepard, D. S. (2008, September 23). Estimating lives and dollars saved from universal adoption of the leapfrog safety and quality standards. Retrieved September 25, 2010, from

Lyons, D. (2010, October 3). How Android is transforming mobile computing. Newsweek. Retrieved from (No longer available at this URL)Instead go to

McKesson Corp. (2010). Enterprise patient visibility and tracking software helps enhance patient flow and speed clinical decisions. Retrieved September 25, 2010, from

Millard, M. (2010, May 10). Smartphones save money and stave off staffing shortages, study finds. HealthIT News. Retrieved from

Radianse. (2009). The Radianse Reveal RTLS platform – How it works. Retrieved September 25, 2010, from (No longer available at this URL). If you are interested use a search tool for more information.

Rawson, M. (2010, October 20). From pagers to smartphones: Why hospitals are making the switch. Healthview News. Retrieved from

The Office of the National Coordinator for Health Information Technology. (2010, December 28). ONC authorized testing and certification bodies. Retrieved January 25, 2011, from

Versel, N. (2010, March 29). CMS to fight Medicare, Medicaid fraud with high-tech ‘bounty hunters’. FierceHealthcare: Daily News for Healthcare Executives. Retrieved from

Versus. (2010). Versus IR RFID patient tracking, asset tracking, and hospital patient flow solutions.  Retrieved August 31, 2011, from

Voalté. (2010, May). Smart hospitals embracing smartphones at the point of care. Retrieved November 6, 2010, from

Yin, S. (2010, August 12). Fraud: Cardiologist billed Medicare, other insurers $13M for untreated patients. FierceHealthcare: Daily News for Healthcare Executives. Retrieved from

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Created January 26, 2012

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