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Study shows for first time decrease in mortality associated with physician order entry system
Date:5/2/2010

ementation was statistically correlated with fewer patient deaths. As you can imagine, this is very meaningful." Longhurst was part of a team of eight researchers from Packard Children's, Stanford and Harvard University involved in the study.

Mark Del Beccaro, MD, a pediatrics professor and vice chair for clinical affairs at Seattle Children's Hospital, who was not involved in this study, said he welcomed the new findings. Seattle Children's Hospital implemented CPOE in 2003. "Three years later a study of the effects showed mortality rates at our institution held steady," Del Beccaro said. "As the evolution and maturity of these systems and their benefits are being realized, there has been soft evidence that they improve patient safety. The Packard Children's report is the first I am aware of to show that you can potentially affect mortality by putting CPOE in place. This is an important study, and we hope others can realize these benefits."

Longhurst emphasized that the new results show a correlation, not a cause and effect. "Our implementation of CPOE was executed superbly, but in addition, we were simultaneously making other advances in patient care," he said. "These included process and workflow changes, adjustments in ICU staffing, the rollout of Rapid Response Teams, the implementation of a nursing residency and more, all in the face of rising acuity in the hospital."

To determine if a change in mortality rates occurred, Longhurst and his colleagues reviewed nearly 100,000 discharges from Packard Children's from Jan. 1, 2001, through April 30, 2009. They compared the observed mortality with the expected mortality, which was generated from a database of 42 tertiary-care, not-for-profit pediatric hospitals similar to Packard Children's.

The result of their analysis was a finding of two fewer deaths per 1,000 discharges at Packard Children's in the period after CPOE was implemented, a total of 36 lives over 18 months.


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Contact: Robert Dicks
rdicks@lpch.org
650-497-8364
Stanford University Medical Center
Source:Eurekalert

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