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T plus 2 days – First Monday on Inpatient Epic EHR
We’ve been live on inpatient CPOE for 48 hours and our first Monday morning is about to begin. We have 72 cases scheduled in the operating room and 4000+ scheduled ambulatory visits in addition to the...
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Go-Live Day 3 – The Home Opener
Our medical informatics group likes baseball metaphors, and we’ve described the Monday just past as the home opener. Our ambulatory practices were in full swing using Apex (Epic) for registration and...
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The endless creativity of the user
Before flipping the switch and releasing a live system into the wild, you build and rebuild, meet and discuss, plan and prepare, train and cajole. You think you have a good idea of how your end users...
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Go-Live Day 4
More power than the early 20th century had planned for. We’re now 96 hours live on the system with two weekend days and two weekdays under our belt. From the beginning we made CPOE mandatory with the...
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The Go-Live Progression
The go-live progression: Day 1: “What’s NoteWriter? I want UCare back.” Day 2: “Do I have to use NoteWriter? I want UCare back.” Day 3: “Which NoteWriter templates do you think are the best?” Day 4:...
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Go-Live Day 5 – the Complexity of Security and the Madness of Printers
We’re five days in to our go-live and continuing to maintain all our expected workflows on the system. Our CPOE rate hit 90% today, the balance being orders written on paper for expected reasons...
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Go-live Week 2 – good numbers, and the triple intersection of complexity
We’ve been live on Epic in inpatient now for two weeks and we’re cautiously very happy with our results. Direct entry of orders by physicians is stable at just over 90%, with the balance being orders...
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Seven tips to prevent medical technology from ruining the doctor-patient...
Does this sound like something that has happened to you? You are driving, you stop at a red light, and all of a sudden you find that your iPhone has migrated its way from your pocket or the passenger...
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Oroville Hospital Implements VistA
by guest author Matthew N. Fine, MD Several years ago I had the pleasure of meeting Dr Matthew Fine, Chief Medical Officer and Director of Patient Safety at Oroville Hospital, at UCSF’s annual CME...
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Oroville Hospital Implements VistA, part 2
by guest author Matthew N. Fine, MD This is the second in Dr Fine’s two-part series describing Oroville Hospital‘s implementation of VistA, the open-source EHR developed by the Veterans’...
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