CHAPTER 5
5. DISCUSSION
The CPOE for laboratory test management design provides
capabilities to clinician to automate the order of lab test and performed the
follow up of the result in a district hospital. The automation of the pre and
post diagnostics task reduces errors such as identification of patient and
specimen, redundant ordered test, lost to follow up.
According to the proposed framework which is based on the HIE
laboratory order schedule workflow, the CPOE as the hub of lab order system
ensures a improvement in workflow by establishing the connection between the
patient management system, the medical history management of patient within the
clinical services and the laboratory order in a centralized architecture.
By using SMS and email notification of laboratory result, the
patient communication experience is improved as well as the referring
clinician, since they can receive respectively the notification and the result
of the laboratory tests on their phone and by email.
5.1. The design consideration
After conducting a literature review of main topic related to
our study subject, we have found that the lack of health information system
integration in the clinical workflow and the clinical relationship between
services has been cited as one of the main raison of abandonment of a medical
record after his deployment. (Maslove et al., 2011)
To take into account this limitation observed in others study
on the design HIS, we first start our study by identifying the important
workflow in data exchange between clinical services and the main actors
involved in lab order management. We analyzed the circulation of information
between the outpatient department, the laboratory service and other clinical
services prior to the identification of system business requirements. Business
process management approach has been used to identify different actors involved
in the circulation of information and the tasks to automate. We think that this
methodology provide the system more flexibility to be integrated in the
hospital workflow and to introduce organization change without breaking
communication between actors.
5.2. Benefits of the system
- The CPOE provide clinicians at the district hospital with a
tools to easily order a group of laboratory test for a patient with a
relatively simple users friendly interfaces where most of the task are
selection based.
- The CPOE allows the clinician to perform the follow up of
the laboratory test by visualizing the test that has been performed and those
in pending status.
- Provide laboratory service in the district hospital with a
tools to organize and managed all the result as well as specimen reception
information on patient.
- The CPOE has the potential to enhance clinician'sawareness
of the patient situation by receiving alert and notification of the laboratory
result on the mobile phone and by email.
- The CPOE has the potential to improve patient communication
experience with the district hospital by receiving by SMS and email
notification when the lab result is available.
- The system use the existing GSM network for SMS notification
instead of internet API that make it most adaptable at limited setting area
where the internet access is a challenge.
| 
