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5. Look at the attached Entity Matrix. Will that class be enough to change physi

ID: 3494457 • Letter: 5

Question

5. Look at the attached Entity Matrix. Will that class be enough to change physician behavior so that physicians will enter their own patient orders into a computer system? What clues do you see to support your decision? If something more is needed, suggest what else may be needed. Explain your reasoning.

Physician Order Entry Enabler Matrix Key Output Key Task 1 23Typical Probable Cause Deficiency Performance Gap Order entered Reviewpatient DUDE into new POE system " may not review allergies and other drugs aready being used belieues that memory is enough *may be interrupted in reviews chart heauy workkad may make interruption difficul Enter order handwriting not Di handwritten scripts are industry standard " physicians feel that computer use is notther responsibility readabke complex interactions mstDKDE be looked up; brand specic information required physicians tend to depend on one brand or preferred drug and may not explore options unless prompted X . X difficult to connect allergies wth drugs (very memory dependant) and with other drugs in use Check for allergies and drug interactions Role: 1-Physician 3-Phammacist DE: Environment contributes to deficiency 2-Nurse 4-Computer Software DK: Knowledge or skill defflenc? DI: Individual attribute or value

Explanation / Answer

5. Look at the attached Entity Matrix. Will that class be enough to change physician behavior so that physicians will enter their own patient orders into a computer system?

No, this class will not be enough to change the behaviour of the physician so that they would enter their own data.

What clues do you see to support your decision?

In the probable cause section there are comments like - memory is enough,. That computer is not their responsibility and that handwritten scripts are standard. Physician's dependence on one particular brand and an expanded memory, not being able to connect allergies to drugs.

If something more is needed, suggest what else may be needed. Explain your reasoning.

Past patient history is required and any medications already being administered have to be viewed without any fail.

Also, evaluation has to be done after new POE is generated so that if the new drugs are working, it will be analysed. In the chart, evaluation is nowhere mentioned.

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