I would love to hear some responses here

We have a real 'special' system at our hospital.  Doctors are responsible 100% for computer writing their OWN orders.  NO VERBAL orders, NO TELEPHONE orders.  If an MD is on call, he is required to have a laptop, in his possession at ALL times.  It really simplifies things, and we have virtually no errors as far as reading an unreadable order, or transcribing the wrong med.   However, sometimes a doctor will put in orders without telling anyone what the heck is going on. IT then shows up in our system, and we have had no communication with the MD, and have to call them to ask what is going on.  We also have a monthly nurse/MD meetings in our hospital to help with the flow of communication (and point our any problems) in our system.  Honestly, the biggest problems we have are with residents.  We have to kick their rears every once in a while.  We have several ortho residents, who think they don't have to answer a page in a timely fashion.  Recently, we had one nurse who texted him on the third page "If you don't answer this page, I'm calling your senior".  Which resulted in his returning page pronto.  We are a large teaching hospital (and level 1 trauma center) and often have long conversations with both residents and attendings about patient conditions.  In my almost 20 years, it is easily the best place I have ever worked as far as MD communication. I feel lucky.

Theala;

The reduction in errors is amazing.  When the doc goes to put in a medication, he has to access a list of meds that are formulary, and up pops the recommended dosages, and routes.  They actually have to overide to put in a non recommended dosage.  For most orders he just points and clicks (labs, diets, x-rays).  I'm so relieved to NOT have to try and figure out what someone's scribble is.  The orders pop up on our screen as a set of 'eyeglasses' and any stat orders are in RED.  Additionally, all lab results pop up as an icon next to the patients name.  The only lag in time, is how long it takes pharmacy to make it crossover to our pyxis.  Emergent drugs are available as an overide in the pyxis, but if it's something we are in a hurry for...say zofran for vomiting, we can call pharmacy who will make it cross over quicker.  I LOVE IT!  We also have a rapid response team in addition to a code team.  The rapid response is  a team of ICU docs, nurses, and resp. people who come, if we think someone is getting sicker, but not quite coding.  For example, if we have someone having a grand mal, we can call a rapid response.  Their authorized to treat and prescribe for anyones patient.