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  • Book
    Philip A. Smith.
    Summary: Making Computerized Provider Order Entry Work is neither a scientific reference guide into medical informatics nor a book on theory or a summary of research studies in the field, but rather it is a practical guide to visioning and executing successful automation of physician workflow in the hospital environment. This adaptation of workflow is the work of a team, with leadership, clear vision, dedication, commitment, external drivers, experience, and the tireless work of those before us in this industry, who have paved the way with both successes and failure.Throughout the book, the author shares hard lessons-learned and guides the reader through the early warning signs that will help avoid the pitfalls. As systems progress, and the regulatory environments change, there will be new challenges and opportunities that will confront those setting up automated physician workflows. However, this book highlights and discusses all of the principles involved such as vision, leadership, project management and change management, which will always need to be incorporated to ensure project success. As such this book will be an important reference for anyone involved in the setting up or use of such systems from the physicians and medical professionals themselves through the medical informaticist to health system executives and other decision makers.

    Contents:
    Why the Concern for CPOE
    Vision: How You Start
    Leadership and Governance
    Project Management Key Opportunities
    Change Management
    CPOE Change Readiness Assessment
    Building Momentum
    Avoiding Common Pitfalls
    Implementation
    Stabilization and Optimization
    Putting It All Together.
    Digital Access Springer 2013
  • Article
    Vasin NI, Lesov NS, Maĭorchik VE, Arkhipova NA, Safronov VA.
    Zh Vopr Neirokhir Im N N Burdenko. 1977 Jul-Aug(4):12-21.
    The effect of electrostimulation and destruction of the ventrolateral parts of the cerebellar dentate nuclei is described on the basis of 27 dentotomies performed on patients with different forms of motor pathology. The dento-cortical connections were studied by advancing electrodes to the cerebral and cerebellar cortex through trephination openings made in the postero-frontal-parasagittal area for ventriculography and in the occipital area for the insertion of a stereotaxic cannula. It was found that the principal test for operative identification of the ventro-oral parts of the dentate nucleus in electrostimulation are motor reactions and changes in the muscular tonus in the homolateral limbs and reactions of the cortex of the central and precentral areas of the cerebral hemispheres revealed by electrocorticography. The main clinical effect produced by the destruction of these parts of the dentate nuclei is diminution of the spastic component of muscular hypertonus; hardly any effect is caused on the rigidity component. Redistribution of muscular tonus is among the factors inducing postoperative changes in hyperkinesia.
    Digital Access Access Options