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

252 M.G. Leu et al.
As one of the first institutions to use the vendor’s order set creation scheme,
the order set development tools required refinement; and resultant order sets
produced by these tools required extensive testing.
Making information electronic increases its transparency. Being able to view care
plans made by other subspecialists helped to streamline labs and make potential
incompatibilities more apparent. The automatic generation of a clinic visit summary
with patient instructions for families has also helped this process.
It is possible to successfully implement CPOE in the ambulatory setting. Having a
well structured project team, with a clearly defined escalation path to the hospital
leadership, is essential. Despite challenges, frustrations, and at times, setbacks,
keeping focused on priorities and guiding principles can lead to success.
Acknowledgements The authors would like to thank the Robert Wood Johnson Clinical Scholars
Program at Yale University and our employers for supporting our time. We would like to acknowledge
Dr. Richard Shiffman for his review and constructive feedback on early drafts, and Dr. Mark
Del Beccaro for his careful review and comments on the case study. We would like to thank our
families for their ongoing support.
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