Actually, in this case, i don't need to read the article.  Blaming
Physician based order entry for an increase mortality rate is on its
face a stupid as prayer to the growth rate of house plants.

The only reason for an increase in mortality can only be because
Physicians are writing orders which kill more patients while the rest of
the institution ignores their recklessness.  It wouldn't surprise me if
this was a direct result of the political wrangling involved with such
implementations which often result in the cutting the balls off of the
Doctors in the Pharmacy, not to mention other checks and balances. 


Ruben


On Mon, 2005-12-05 at 16:48, Nancy Anthracite wrote:
> The Journal of Pediatrics is unusual in that it often allows full text 
> viewing 
> of thier articles online.  Unfortunately, the November issue is the latest 
> one posted, but by January we could possibly all be able to read it and judge 
> for ourselves.  I will send a note on to someone active in the ACP to see if 
> perhaps that could be one of the free articles.
> 
> On Monday 05 December 2005 04:33 pm, Ruben Safir wrote:
> In fact, this sounds like a case where the health care facility ignores
> its pharmacists, causing an increased death rate.
> 
> Ruben
> 
> On Mon, 2005-12-05 at 15:16, Ignacio Valdes wrote:
> > The December 2005 issue of the journal Pediatrics has a report that
> > found a coincident increase in mortality after implementing a
> > 'Commercially Sold' Computerized Physician Order Entry (CPOE) system.
> > The increased mortality may have been due to delays in medication and
> > IV administration in the ICU caused by the new system: '...Although
> > CPOE technology holds great promise as a tool to reduce human error
> > during health care delivery our unanticipated finding suggests that
> > when implementing CPOE systems, institutions should continue to
> > evaluate mortality effects, in addition to medication error rates, for
> > children who are dependent on time-sensitive therapies.' The study
> > notes that mortality rate studies on CPOE as opposed to adverse drug
> > events(ADEs) studies has not been done before. The CPOE in the study
> > DID reduce ADE's as expected.
> >
> > Additional summary of the article here:
> >  http://www.linuxmednews.com/1133812163/index_html
> >
> >
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