Table 1.

Table 1 Considerations when Incorporating CROs into CPOE

Technical

How to avoid confusion with active orders in user interface, notes, and in data repository

How to avoid confusion with student orders

How to use existing CPOE functions for CROs

How to take advantage of existing Clinical Decision Support system

How to recommend discontinuation or revision for items implemented without active orders in the CPOE

Administrative

Who has privileges to enter, view, or act on CROs?

What happens to CROs at discharge?

What happens to CROs when a patient is transferred to the ICU or to another team?

Should CROs be prioritized, and if so, how?

Should CROs be purged after a pre-established number of days?

Whether to allow for CROs to be printed or displayed as notes

Workflow

When should CROs be displayed to providers?

Should display be automatic or should users decide when to view CROs?

CPOE = computerized provider order entry; CRO = consultant-recommended orders; ICU = intensive care unit.