Healthcare Order Sets Saving Lives, Time and Money

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Order Sets

• Saving Lives, Time and Money

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Knowledge Translation Typical Approach

• Medical knowledge is typically contained in
  guidelines, text books, medical rounds, web
  pages, pamphlets, etc.
• None of this Referential Knowledge directly
  drives the care of patients

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A Doctors Order An Essential Step in Hospital
Care

• Most treatments provided to patients in
  hospitals require a physicians order
• A doctor will create free text orders completely
  from memory on a blank order form and submit to
  nurse for execution

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Health Care Organizations are complex
Emergency Room
Radiology
Laboratory and Blood Work
Intensive Care Unit
Hospital Pharmacy
Discharge
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Module Order Set Building Block
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Order set benefits

• Improve Quality
• Durable benefit that increases over time
• All areas of the organization
• Any process impacted by orders
• Save Time!
• Builds capacity and leads to adoption
• Clinician satisfaction
• Improved Resource Utilization
• Foundation for successful Computerized Physician
  Order Entry

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The Checklist Manifesto by Dr. Atul Gawande

• Its just too easy for an otherwise competent
  doctor to miss a step, or forget to ask a
  question or, in the stress and pressure of the
  moment, to fail to plan properly for every
  eventuality.
• Dr. Atul Gawande visits with pilots and the
  people who build skyscrapers and comes back with
  a solution. Experts need checklists. Literally,
  written guides that walk them through the key
  steps in any complex procedure.
• Author Malcolm Gladwells review of New York
  Times BestsellerThe Checklist Manifestoby Dr.
  Atul Gawande

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Checklists Ensure Aviation is One of the Safest
Industries

• Canada 10,000 preventable hospital deaths per
  year. Equivalent to one
  major plane crash per week.

• USA 100,000 preventable hospital deaths per
  year.
• Equivalent to one major
  plane crash per day.

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• By implementing an order set solution, Grey Bruce
  Health Network was able to
• Reduce its average length of stay from 5.9 days
  to 4.7 days
• Reduce its rate of re-admissions with an
  unrelated diagnosis within one week from 4.8 to
  2.5

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• Order Set Content
• Evidence based and best practice
• Up to date
• Workflow!
• Standardization
• Order Set Project
• Engage physicians
• Consensus without wasting time
• Support entire team

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• Order Set Management Software
• Track and update content across the organization
• Order Set Completion
• At point of care
• Order Set Data
• Real time
• Provider and organizational data
• Tool for engagement

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• Standardize that which is routine about patient
  care
• so that the clinician can focus on what is unique
  
• about the individual

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THANK YOU
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