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计算机化医生医嘱录入与医疗质量。

Computerized physician order entry and quality of care.

作者信息

Bates D W, Kuperman G, Teich J M

机构信息

Brigham and Women's Hospital (BWH), Boston, MA.

出版信息

Qual Manag Health Care. 1994 Summer;2(4):18-27.

Abstract

In automated physician order entry systems, physicians enter orders directly on the computer. Compared with manual systems, advantages are that orders are legible, transcription is eliminated, the writer can be identified, and orders can rapidly be routed to their destinations. But most importantly, physician order entry allows order checking and provision of decision support to the orderer in real time. Disadvantages are that systems developed to date have been slower than pen and paper and they represent a major process change so that implementation is time-consuming and requires patience both on the part of the users and the developers.

摘要

在自动化医生医嘱录入系统中,医生直接在计算机上录入医嘱。与手工系统相比,其优点是医嘱字迹清晰、无需转录、可识别录入者,且医嘱能迅速送达目的地。但最重要的是,医生医嘱录入允许实时检查医嘱并为录入者提供决策支持。缺点是迄今为止开发的系统比纸笔操作慢,并且它们代表了一个重大的流程变革,因此实施耗时,需要用户和开发者都有耐心。

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