{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T03:41:15Z","timestamp":1762054875492,"version":"build-2065373602"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"type":"print","value":"9781643682648"},{"type":"electronic","value":"9781643682655"}],"license":[{"start":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T00:00:00Z","timestamp":1654473600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,6]]},"abstract":"<jats:p>Computerized Provider Order Entry (CPOE) systems may cause unintended consequences. This study aimed to describe the on-going system for CPOE order sets, and to explore an economic evaluation at the Emergency Department. First, we developed a costs dashboard which showed us the significant and excessive use of medical tests per consultation. We identified the top 10 most widely used and most expensive tests. Additionally we noticed that the labs seemed to continually increase. Then, we found that 27% of the consultations have at least one item of laboratory practice between January and February 2020, and this represents more than 80% of the consultation costs. Health care spending has reached epic proportions globally. We think that it is time to rethink effective strategies. Maybe it is time to deactivate\/remove electronic order sets (EOSs) and the functionality to develop and create their own \u201cprivate\u201d order sets, in order to eliminate waste and inefficiencies.<\/jats:p>","DOI":"10.3233\/shti220059","type":"book-chapter","created":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T09:30:54Z","timestamp":1654594254000},"source":"Crossref","is-referenced-by-count":3,"title":["Can CPOE Based on Electronic Order Sets Cause Unintended Consequences (Expensive and Unnecessary Tests) at the Emergency Department?"],"prefix":"10.3233","author":[{"given":"Eliana Ludmila","family":"Frutos","sequence":"first","affiliation":[{"name":"Department of Health Informatics, Hospital Italiano de Buenos Aires, Ciudad de Buenos Aires, Argentina"}]},{"given":"Agust\u00edn Mat\u00edas","family":"Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}]},{"given":"Luciana","family":"Rovegno","sequence":"additional","affiliation":[{"name":"Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}]},{"given":"Ana Soledad","family":"Pedretti","sequence":"additional","affiliation":[{"name":"Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}]},{"given":"Carlos Martin","family":"Otero","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, Hospital Italiano de Buenos Aires, Ciudad de Buenos Aires, Argentina"}]},{"given":"Cintia","family":"Gimenez","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, Hospital Italiano de Buenos Aires, Ciudad de Buenos Aires, Argentina"}]},{"given":"Daniel Roberto","family":"Luna","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, Hospital Italiano de Buenos Aires, Ciudad de Buenos Aires, Argentina"}]},{"given":"Mar\u00eda Florencia","family":"Grande Ratti","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, Hospital Italiano de Buenos Aires, Ciudad de Buenos Aires, Argentina"},{"name":"Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}]},{"given":"Bernardo Julio","family":"Martinez","sequence":"additional","affiliation":[{"name":"Emergency Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","MEDINFO 2021: One World, One Health \u2013 Global Partnership for Digital Innovation"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI220059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,7]],"date-time":"2022-06-07T09:30:55Z","timestamp":1654594255000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI220059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,6]]},"ISBN":["9781643682648","9781643682655"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti220059","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"type":"print","value":"0926-9630"},{"type":"electronic","value":"1879-8365"}],"subject":[],"published":{"date-parts":[[2022,6,6]]}}}