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- W1779966915 abstract "17047 Background: The Nevada Cancer Institute (NVCI) is the cancer center for the state of NV conducting basic and clinical research and services in medical oncology, hematology, radiation oncology, laboratory medicine, pathology, and imaging. With the national mandate for electronic medical records (EMR), we focused on selecting a comprehensive EMR/IT system during the planning of the NVCI.. The goal was to have a seamless interface between clinical services and financial management, to maintain an extensive database of pt outcomes linked to demographics for future data mining. We hypothesized that an EMR would lead to improved safety and efficiency in patient care. Methods: Pt visits began 3/05 with paper records while EMR systems were being reviewed. Ultimately, IMPAC Medical Systems, Inc was selected. After extensive testing and re-configuration of an existing IMPAC system by the IT department and extensive training sessions, a rapid transition from paper records to a complete paperless environment occurred 9/05. As of 12/31/06, we have seen 1,271 patients. Since the care plans, lab interface and drug bar coding were in place by 4/06, we reviewed the interval of 4–12/06 for efficacy of charge capture, reduction in medication errors, the tracking of patients in ancillary services, the development of a 3 tier approval system for drug orders, and the voice recognition system for its efficiency in reducing transcription costs and turnaround time. Results: In that interval, we recorded 3617 patient visits in the medical oncology infusion center and 4766 in radiation oncology. There were 0 sentinel events. Only 2 medication errors were made which were attributed to human error but not related to the software itself. Conclusions: These safety data appear superior to comparable error rates in a paper environment.We appear to have enhanced pt safety, reduced the costs of lost revenue, increased access to the patient record and created an opportunity to analyze pt data on a longitudinal basis. We are increasing our future reporting by implementing the IMPAC Quantros Safety and Risk Management System. No significant financial relationships to disclose." @default.
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- W1779966915 date "2007-06-20" @default.
- W1779966915 modified "2023-09-26" @default.
- W1779966915 title "An analysis of sentinel events after the implementation of a comprehensive information technology system for a new cancer center" @default.
- W1779966915 doi "https://doi.org/10.1200/jco.2007.25.18_suppl.17047" @default.
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