Safe and successful implementation of CPOE for chemotherapy at a Children's Cancer Center

James M. Hoffman, Donald K. Baker, Scott Howard, Joseph H. Laver, Jerry L. Shenep

Research output: Contribution to journalReview article

14 Citations (Scopus)

Abstract

Computerized prescriber order entry (CPOE) for medications has been implemented in only approximately 1 in 6 United States hospitals, with CPOE for chemotherapy lagging behind that for nonchemotherapy medications. The high risks associated with chemotherapy combined with other aspects of cancer care present unique challenges for the safe and appropriate use of CPOE. This article describes the process for safe and successful implementation of CPOE for chemotherapy at a children's cancer center. A core principle throughout the development and implementation of this system was that it must be as safe (and eventually safer) as existing paper systems and processes. The history of requiring standardized, regimen-specific, preprinted paper order forms served as the foundation for safe implementation of CPOE for chemotherapy. Extensive use of electronic order sets with advanced functionality; formal process redesign and system analysis; automated clinical decision support; and a phased implementation approach were essential strategies for safe implementation of CPOE. With careful planning and adequate resources, CPOE for chemotherapy can be safely implemented.

Original languageEnglish (US)
JournalJNCCN Journal of the National Comprehensive Cancer Network
Volume9
Issue numberSUPPL. 3
StatePublished - Mar 22 2011

Fingerprint

Drug Therapy
Neoplasms
Clinical Decision Support Systems
State Hospitals
Systems Analysis
History

All Science Journal Classification (ASJC) codes

  • Oncology

Cite this

Safe and successful implementation of CPOE for chemotherapy at a Children's Cancer Center. / Hoffman, James M.; Baker, Donald K.; Howard, Scott; Laver, Joseph H.; Shenep, Jerry L.

In: JNCCN Journal of the National Comprehensive Cancer Network, Vol. 9, No. SUPPL. 3, 22.03.2011.

Research output: Contribution to journalReview article

Hoffman, James M. ; Baker, Donald K. ; Howard, Scott ; Laver, Joseph H. ; Shenep, Jerry L. / Safe and successful implementation of CPOE for chemotherapy at a Children's Cancer Center. In: JNCCN Journal of the National Comprehensive Cancer Network. 2011 ; Vol. 9, No. SUPPL. 3.
@article{558c604fa8684b1aaa01bf6082e5d3e3,
title = "Safe and successful implementation of CPOE for chemotherapy at a Children's Cancer Center",
abstract = "Computerized prescriber order entry (CPOE) for medications has been implemented in only approximately 1 in 6 United States hospitals, with CPOE for chemotherapy lagging behind that for nonchemotherapy medications. The high risks associated with chemotherapy combined with other aspects of cancer care present unique challenges for the safe and appropriate use of CPOE. This article describes the process for safe and successful implementation of CPOE for chemotherapy at a children's cancer center. A core principle throughout the development and implementation of this system was that it must be as safe (and eventually safer) as existing paper systems and processes. The history of requiring standardized, regimen-specific, preprinted paper order forms served as the foundation for safe implementation of CPOE for chemotherapy. Extensive use of electronic order sets with advanced functionality; formal process redesign and system analysis; automated clinical decision support; and a phased implementation approach were essential strategies for safe implementation of CPOE. With careful planning and adequate resources, CPOE for chemotherapy can be safely implemented.",
author = "Hoffman, {James M.} and Baker, {Donald K.} and Scott Howard and Laver, {Joseph H.} and Shenep, {Jerry L.}",
year = "2011",
month = "3",
day = "22",
language = "English (US)",
volume = "9",
journal = "Journal of the National Comprehensive Cancer Network : JNCCN",
issn = "1540-1405",
publisher = "Cold Spring Publishing LLC",
number = "SUPPL. 3",

}

TY - JOUR

T1 - Safe and successful implementation of CPOE for chemotherapy at a Children's Cancer Center

AU - Hoffman, James M.

AU - Baker, Donald K.

AU - Howard, Scott

AU - Laver, Joseph H.

AU - Shenep, Jerry L.

PY - 2011/3/22

Y1 - 2011/3/22

N2 - Computerized prescriber order entry (CPOE) for medications has been implemented in only approximately 1 in 6 United States hospitals, with CPOE for chemotherapy lagging behind that for nonchemotherapy medications. The high risks associated with chemotherapy combined with other aspects of cancer care present unique challenges for the safe and appropriate use of CPOE. This article describes the process for safe and successful implementation of CPOE for chemotherapy at a children's cancer center. A core principle throughout the development and implementation of this system was that it must be as safe (and eventually safer) as existing paper systems and processes. The history of requiring standardized, regimen-specific, preprinted paper order forms served as the foundation for safe implementation of CPOE for chemotherapy. Extensive use of electronic order sets with advanced functionality; formal process redesign and system analysis; automated clinical decision support; and a phased implementation approach were essential strategies for safe implementation of CPOE. With careful planning and adequate resources, CPOE for chemotherapy can be safely implemented.

AB - Computerized prescriber order entry (CPOE) for medications has been implemented in only approximately 1 in 6 United States hospitals, with CPOE for chemotherapy lagging behind that for nonchemotherapy medications. The high risks associated with chemotherapy combined with other aspects of cancer care present unique challenges for the safe and appropriate use of CPOE. This article describes the process for safe and successful implementation of CPOE for chemotherapy at a children's cancer center. A core principle throughout the development and implementation of this system was that it must be as safe (and eventually safer) as existing paper systems and processes. The history of requiring standardized, regimen-specific, preprinted paper order forms served as the foundation for safe implementation of CPOE for chemotherapy. Extensive use of electronic order sets with advanced functionality; formal process redesign and system analysis; automated clinical decision support; and a phased implementation approach were essential strategies for safe implementation of CPOE. With careful planning and adequate resources, CPOE for chemotherapy can be safely implemented.

UR - http://www.scopus.com/inward/record.url?scp=79952733588&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952733588&partnerID=8YFLogxK

M3 - Review article

VL - 9

JO - Journal of the National Comprehensive Cancer Network : JNCCN

JF - Journal of the National Comprehensive Cancer Network : JNCCN

SN - 1540-1405

IS - SUPPL. 3

ER -