Order Checking

Order Checking is based on a system of rules that reviews orders to see if they meet defined criteria. If they meet the criteria, an electronic message is sent to the ordering provider to alert the provider to a potential problem (such as creatinine clearance, polypharmacy, duplicate order, drug-lab interaction, etc.). The provider can then choose to cancel the order or override the order check and place the order.

The Order Checking system gives users and clinical application coordinators (CACs) some flexibility to determine which order checks and notifications are sent and whether the provider must enter a reason to override the order check. To accomplish this, CPRS includes several prepackaged order checks as well as three menus for setting Order Checking parameters such as enabling and disabling specific order checks. Order Checks can also be configured to be mandatory by the Clinical Coordinator or IRM. If this feature is enabled, users cannot indicate that they do not want to receive individual order checks. Non-mandatory order checks can be enabled or disabled through the Tools | Options menu.

CPRS calls for order checks on all orders. CPRS calls for order checks at the following times:

· When the user opens the order dialog by selecting an item from the Write Orders pane or from an order menu

· In the order dialog when the user selects Accept Order

· When the user selects a signature action--before the user signs

CPRS uses three kinds of order checks: site-defined Clinical Reminder order checks, nationally released local orders checks, and remote orders checks between sites.