使用医师医嘱录入系统的住院医师的看法。
Perceptions of house officers who use physician order entry.
作者信息
Ash J S, Gorman P N, Hersh W R, Lavelle M, Poulsen S B
机构信息
Division of Medical Informatics and Outcomes Research, School of Medicine Oregon Health Sciences University, Portland, USA.
出版信息
Proc AMIA Symp. 1999:471-5.
OBJECTIVE
Describe the perceptions of housestaff physicians about their experience using computerized physician order entry (POE) in hospitals.
METHODS
Qualitative study using data from participant observation, focus groups, and both formal and informal interviews. Data were analyzed by three researchers using a grounded approach to identify patterns and themes in the texts.
RESULTS
Six themes were identified, including housestaff education, benefits of POE, problems with POE, feelings about POE, implementation strategies, and the future of POE.
CONCLUSION
House officers felt that POE assists patient care but may undermine education. They found that POE works best when tailored to fit local and individual workflow. Implementation strategies should include mechanisms for engaging housestaff in the decision process.
目的
描述住院医师对其在医院使用计算机化医嘱录入系统（POE）的体验的看法。
方法
采用定性研究方法，数据来源于参与观察、焦点小组以及正式和非正式访谈。由三位研究人员使用扎根理论方法对数据进行分析，以识别文本中的模式和主题。
结果
确定了六个主题，包括住院医师教育、POE的益处、POE的问题、对POE的感受、实施策略以及POE的未来。
结论
住院医师认为POE有助于患者护理，但可能会损害教育。他们发现，POE在根据当地和个人工作流程进行定制时效果最佳。实施策略应包括让住院医师参与决策过程的机制。
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