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创新与研究综述:HELP计算机系统对LDS医院纸质病历的影响

Innovations and research review: the impact of the HELP computer system on the LDS Hospital paper medical record.

作者信息

Kuperman G J, Maack B B, Bauer K, Gardner R M

机构信息

LDS Hospital, Salt Lake City, UT.

出版信息

Top Health Rec Manage. 1991 Nov;12(2):76-85.

PMID:10114768
Abstract

This study sought to answer the question: What percentage of an LDS Hospital patient's chart is contained in the HELP system? Using the number of pages in the record as the criteria, the answer is about 26 percent overall, but between 35 percent and 40 percent for patients in nursing divisions where computerized nurse charting is used. Although this fraction is likely to rise in the near future, the critical factor driving computerization is the desire for data usable in computerized decision making rather than the need to computerize the entire chart per se. The medical record at LDS Hospital will probably be a hybrid of computerized and paper data for some time to come.

摘要

本研究旨在回答以下问题

LDS医院患者病历中有多大比例包含在HELP系统中?以病历页数为标准,总体答案约为26%,但在使用计算机化护理记录的护理科室中,这一比例在35%至40%之间。尽管这一比例在不久的将来可能会上升,但推动计算机化的关键因素是对可用于计算机化决策的数据的需求,而非将整个病历本身进行计算机化的需求。在未来一段时间内,LDS医院的病历可能会是计算机化数据和纸质数据的混合体。

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