Cedars-Sinai Medical Center

medical staff pulse newsletter

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A BI-WEEKLY PUBLICATION FROM THE CEDARS-SINAI CHIEF OF STAFF April 15, 2011 Issue | Archived Issues

Acetylcysteine Shortage, Benzocaine Product Risks

Pharmacy Focus

- Update to Fluoroquinolones Boxed Warning

- Shortage of Acetylcysteine 10% 100mg/ml Solution for Nebulization

- Benzocaine Topical Products: Risk of Methemoglobinemia

» Read more


Meetings and Events

Women and Ischemic Heart Disease Symposium
April 29

Annual Basketball Game
May 15

Clinical and Translational Research Workshop
Applications due June 1

» Read more


Click here to view upcoming Grand Rounds.

Share Your News

Won any awards or had an article accepted for publication? Share your news about professional achievements and other items of interest.

Click here to share your news

Physician Orders and Documentation on CS-Link Goes Live Oct. 15

Physicians will start using CS-Link™ for entering and managing their orders with the launch of Inpatient Phase 3 (IP3) on Oct. 15.

Members of the medical staff were largely involved in choosing the go-live date for IP3, which includes:

  • Physician use of CS-Link for managing orders with electronic order entry and ongoing order management and/or medication reconciliation
  • Physician documentation of their clinical care notes in CS-Link; dictation for lengthier documentation needs may also be used (e.g., H&P, Discharge Summary, Operative Reports)

"The project team and the medical staff have a lot to do to prepare for go-live, but this effort is essential to assure that we are all comfortable with CS-Link after go-live," said Chief of Staff Scott Karlan, M.D., who is also co-chair of the Clinical Systems Informatics Committee.

These additions will also provide the best opportunity for improved patient safety at Cedars-Sinai.

Physician Involvement in New Functionality Design

CS-Link physician subject matter experts (SMEs) and champions will drive the development of clinical content for IP3 including:

  • Order Sets
  • Documentation Templates (e.g., SmartTools in CS-Link)
  • Preference Lists
  • Navigators
  • Reports

Members of the medical staff will review each of the above areas over the next several months to confirm content and usability.

Training

The current MD View Training will continue and be on-going. Computerized Physician Orders Management (CPOM) and Physician Documentation training will encompass a variety of training methods and settings that best meet the needs of all our providers. 

Where We Are Going

Cedars-Sinai is steadily moving forward on the path to “One Patient, One Record.” The CS-Link phased implementation approach continues with the current focus on CPOM and physician documentation while also expanding CS-Link functionality in a number of other key areas:

  • Obstetrics, Labor and Delivery services – physicians and nurses will chart in CS-Link only, where there is a tightly integrated workflow among the team
  • Dual monitors will be used for CS-Link and the Fetal Heart Monitoring system for a comprehensive view at the point of care for Obstetrics, Labor and Delivery services
  • A closed-loop medication administration process with the introduction of Bar Coded Medication Administration across the medical center (Med/Surg go live is Tuesday, April 19)
  • The Ambulatory portion of CS-Link used by Cedars-Sinai Medical Group is being enhanced through an optimization process to improve the workflow and usage
  • Scheduling, Registration and Ambulatory CS-Link is being offered for implementation in our private physician offices

Should you have any questions or comments about CS-Link activities for 2011, please reach out to the project team by contacting cshelp@cshs.org.