Implementation of Epic Beaker Clinical Pathology at Stanford University Medical Center
| Autor: | William Flores, Cary Schrandt, Tom Bruynell, Vicki Davis, Jennifer Fralick, Neil P. Shah, Brent T. Tan, John Y Christopher, Lisa Wilson, Shirley Weber |
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| Rok vydání: | 2017 |
| Předmět: |
Gerontology
medicine.medical_specialty 020205 medical informatics Computer science 02 engineering and technology Health informatics California 03 medical and health sciences 0302 clinical medicine 0202 electrical engineering electronic engineering information engineering Information system medicine Electronic Health Records Humans Medical physics Academic Medical Centers Pathology Clinical business.industry General Medicine Test (assessment) Identification (information) Workflow Specimen collection 030220 oncology & carcinogenesis Informatics business Clinical Laboratory Information Systems Strengths and weaknesses |
| Zdroj: | American journal of clinical pathology. 147(3) |
| ISSN: | 1943-7722 |
| Popis: | Objectives To provide an account of implementation of the Epic Beaker 2014 clinical pathology module at Stanford University Medical Center and highlight strengths and weaknesses of the system. Methods Based on a formal selection process, Stanford selected Epic Beaker to replace Sunquest as the clinical laboratory information system (LIS). The rationale included integration between the LIS and already installed Epic electronic medical record (EMR), reduction in the number of systems and interfaces, and positive patient identification (PPID). The build was significantly customized and included a first of its kind Epic-to-Epic interface. This was due to the clinical laboratory serving two hospitals (pediatric and adult) with independent instances of Epic. Results Test turnaround times showed improvement from historical baselines, mostly because of the implementation of PPID. PPID also resulted in significant reduction in mislabeled specimens. Conclusions Epic 2014 Beaker clinical pathology is a viable LIS with adequate functionality for a large academic center. Strengths include PPID and integration with the EMR. Integration provides laboratory users with ready access to the patient's relevant clinical history to assist releasing of results and gives physician and nurse providers sophisticated add-on ordering and specimen collection workflows. Areas that could use further development include specimen aliquoting, quality control reporting, and maintenance tools. |
| Databáze: | OpenAIRE |
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