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Cerner millennium

Sarah P Slight, Casey Quinn, Anthony J Avery, David W Bates, Aziz Sheikh
OBJECTIVE: We conducted a prospective evaluation of different forms of electronic health record (EHR) systems to better understand the costs incurred during implementation and the factors that can influence these costs. METHODS: We selected a range of diverse organizations across three different geographical areas in England that were at different stages of implementing three centrally procured applications, that is, iSOFT's Lorenzo Regional Care, Cerner's Millennium, and CSE's RiO...
October 2014: Journal of the American Medical Informatics Association: JAMIA
Marinos Pericleous, Charles Murray, Mark Hamilton, Owen Epstein, Rupert Negus, Tim Peachey, Arvind Kaul, James O'Beirne
BACKGROUND: We studied the management of patients with acute upper gastrointestinal (GI) bleeding (AUGIB) at the Royal Free Hospital. The aim was to compare our performance with the national standard and determine ways of improving the delivery of care in accordance with the recently published 'Scope for improvement' report. METHODS: We randomly selected patients who presented with haematemesis, melaena, or both, and had an oesophageogastroduodenoscopy (OGD) between April and October 2009...
November 2013: Therapeutic Advances in Gastroenterology
Johanna I Westbrook, Melissa T Baysari, Ling Li, Rosemary Burke, Katrina L Richardson, Richard O Day
OBJECTIVES: To compare the manifestations, mechanisms, and rates of system-related errors associated with two electronic prescribing systems (e-PS). To determine if the rate of system-related prescribing errors is greater than the rate of errors prevented. METHODS: Audit of 629 inpatient admissions at two hospitals in Sydney, Australia using the CSC MedChart and Cerner Millennium e-PS. System related errors were classified by manifestation (eg, wrong dose), mechanism, and severity...
November 2013: Journal of the American Medical Informatics Association: JAMIA
Johanna I Westbrook, Margaret Reckmann, Ling Li, William B Runciman, Rosemary Burke, Connie Lo, Melissa T Baysari, Jeffrey Braithwaite, Richard O Day
BACKGROUND: Considerable investments are being made in commercial electronic prescribing systems (e-prescribing) in many countries. Few studies have measured or evaluated their effectiveness at reducing prescribing error rates, and interactions between system design and errors are not well understood, despite increasing concerns regarding new errors associated with system use. This study evaluated the effectiveness of two commercial e-prescribing systems in reducing prescribing error rates and their propensities for introducing new types of error...
January 2012: PLoS Medicine
Neil R Kudler, Liron Pantanowitz
BACKGROUND: Laboratory data account for the bulk of data stored in any given electronic medical record (EMR). To best serve the user, electronic laboratory data needs to be flexible and customizable. Our aim was to determine the various ways in which laboratory data get utilized by clinicians in our health system's EMR. METHOD: All electronic menus, tabs, flowsheets, notes and subsections within the EMR (Millennium v2007.13, Cerner Corporation, Kansas City, MO, US) were explored to determine how clinicians utilize discrete laboratory data...
2010: Journal of Pathology Informatics
P Burgess, H Robin, M Langshaw, G Kershaw, R Pathiraja, S Yuen, C Coad, N Xiros, G Mansy, R Coleman, R Brown, J Gibson, R Holman, J Hubbard, V Wick, M Lammers, R Johnson, K Huffman, J Bell, A Ibrahim, F Estepa, J Lovegrove, D Joshua
The latest version of our Laboratory Information System haematology laboratory expert system that handles the output of Abbott Cell-Dyn Sapphires, CD4000s and a CD3200 full blood count analyser in three high-volume haematology laboratories is described. The three hospital laboratories use Cerner Millennium Version 2007.02 software and the expert system uses Cerner Millennium Discern Expert rules and some small Cerner Command Language in-house programs. The entire expert system is totally integrated with the area-wide database and has been built and maintained by haematology staff members, as has the haematology database...
December 2009: International Journal of Laboratory Hematology
J I Westbrook, A Georgiou, A Dimos, T Germanos
OBJECTIVE: To assess the impact of a computerised pathology order entry system on laboratory turnaround times and test ordering within a teaching hospital. METHODS: A controlled before and after study compared test assays ordered from 11 wards two months before (n = 97 851) and after (n = 113 762) the implementation of a computerised pathology order entry system (Cerner Millennium Powerchart). Comparisons were made of laboratory turnaround times, frequency of tests ordered and specimens taken, proportions of patients having tests, average number per patient, and percentage of gentamicin and vancomycin specimens labelled as random...
May 2006: Journal of Clinical Pathology
G Lechleitner, K P Pfeiffer, I Wilhelmy, M Ball
OBJECTIVES: A Clinical Information System, serving more than 2,000 users was to be implemented at three hospitals of TILAK (Tiroler Landeskrankenanstalten GmbH), including the University Hospital of Innsbruck. The system was intended to integrate data from radiology, laboratory, and pathology subsystems with patient data. METHODS: Using Cerner Millennium software and Health Level 7 standards, the first stage of an Electronic Patient Record (EPR) was built. Direct data entry was facilitated using either a Microsoft Word text processor (with subsequent authentication workflow) or structured forms...
2003: Methods of Information in Medicine
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