Safety and Efficiency Considerations for the Introduction of Electronic Ordering in a Blood Bank (Report)
Pathology services have been described as the “hidden science that saves lives.” (1) They make an essential contribution to the effective prevention, detection, and management of disease but are still widely perceived as a backroom function, (2) with many people unaware of their vital, ongoing importance.1 There are many signs that this situation is changing, particularly with the emphasis on the role of pathology in patient pathways beginning with the selection of the most appropriate test or investigation onto the interpretation and provision of clinical advice across many clinical specialties. (2) Information and communication technology has a critical part to play in this development. This technology is a central feature of pathology laboratories, particularly in complex hospital settings reliant on the efficient management of information for patient care. (3) The implementation of computerized provider order entry (CPOE) systems provides a possible foundation for enhancing the role of pathology services in the patient care process. (4) These systems enable doctors, and other authorized clinicians to issue orders electronically, leading to efficient order communication and decision support at the point of ordering. However, CPOE introduction can also be associated with important and disruptive changes to laboratory and clinical professionals’ work practices and processes. (5) The planning and implementation of these systems requires consideration of how the technology will both affect and be affected by the organization in which it is being installed. (6) This is of particular importance for pathology departments, which consist of a diverse range of services, each with its own unique tasks and requirements. (2)
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