Introduce evidence based content in paper world so you are introducing less change with CPOE roll out Process we used to convert from paper to CPOE Handwritten Paper orders- Paper Order sets- EB paper order sets- CPOE
Purposefully engaged key physicians at each step along the way Buy-in leads to Ownership leads to Advocacy leads to OS usage paper CPOE Same process then used in electronic world
Unit clerks, Service line admins, OR staff etc. As you collect OS find out key MD users or champions of the OS I would not suggest trying to introduce EB/OS into your OSs without licensing content from a content provider Development and maintenance of EBOSs would be a logistical nightmare without a continual feed of updates and content from a trusted third party
Keep team small One team for all order sets: MD, RN, Pharmacist Or one team for each OS group (IM, Surg, Peds, CV, Ortho etc.) Depending on size of your organization and your resources This team will get Oss “90%” complete OS Coord. moves order sets through various stakeholders for comments, revisions etc… (Key MDs, RNs, Pharmacist, ancillary, committees etc.)
Once you have nailed down what process you will use to develop your OS; your core team needs to agree on a standardized OS format and nomenclature
A standard look and feel helps users navigate when they are using a new OS
Now that you have agreed on a process and format- work of core team begins
Come armed with the evidence from your content provider
Now you have your “completed” OS you must do UAT before releasing to live
UAT (user acceptance testing) Get a naive set of eyes looking at OS Engenders more buy-in -> sense of ownership -> advocacy
Leverage MDs who “own” the OSs as advocates for their use
Keeps feedback coming (avoids sense of Black Hole) Engenders “ownership” -> advocacy: “I made this change”
Very hard to do without a content provider feeding you regular updates based on the latest literature
Urgent: Email or online tool Routine: Follow standard development process steps With Key MDs, committees etc.
Buy-in leads to Ownership leads to Advocacy leads to OS usage Same process then used in electronic world
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