Pediatric Informatics: Computer Applications in Child Health (Health ...

8 Complexity in Healthcare Information Technology Systems 99
Table 8.2 Evaluation matrix to compare POE implementation
Children’s Hospital
of Pittsburgh
Children’s Hospital
of Seattle
Hospital characteristics
Affiliation University of Pittsburgh University of Washington
Annual Admissions 235 pediatric beds 250 pediatric beds
12,000 admissions/year 11,000 admissions/year
3,000 PICU admissions/ 1,100 ICU admissions/year
year
~110 transport admissions to
~734 transport
admissions to PICU/
year
PICU/year
Study characteristics
Study period 13 months pre, 5 months
post
13 months pre, 5 and
13 months post
10/1/2001 until 3/31/2003 10/1/2002 until 12/31/2004
Study population Children admitted via All children
inter-facility transport 2,533 PICU admissions
1942 total transport
(transport and in-house)
admissions
284 inter-facility transport
1102 inter-facility
admissions to PICU
transport admissions (much smaller cohort
to PICU
than in Pittsburgh)
Severity of illness metric PRISM score (median 4) PRISM score (median 4.57)
Demographic differences in Median age: 9 months Mean age: 86.76 months
the study populations
(patients much older than
in Pittsburgh)
Technical
CPOE system Cerner power orders Cerner power orders
Cerner millennium Cerner millennium
7.8 platform
7.8 platform
Implementation period 6 days 14 h
Pharmacy Emergency medications Emergency medications
difficult to obtain
due to centralized
pharmacy and
inefficient medication
approval process
available immediately
Infrastructure Network reliability
problems
No network problems
Registration Inability to preregister Allow for preregistration of
patients
patients
Time for Order set Completion 1–2 min per order