Rothschild Jeffrey M, Lee Thomas H, Bae Taran, Bates David W
Division of General Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
J Am Med Inform Assoc. 2002 May-Jun;9(3):223-9. doi: 10.1197/jamia.m1001.
Problems involving drug knowledge are one of the most common causes of serious medication errors. Although the information that clinicians need is often available somewhere, retrieving it expeditiously has been problematic. At the same time, clinicians are faced with an ever-expanding pharmacology knowledge base. Recently, point-of-care technology has become more widely available and more practical with the advent of handheld, or palmtop, computing. Therefore, the authors evaluated the clinical contribution of a drug database developed for the handheld computer. ePocrates Rx (formerly known as qRx; ePocrates, San Carlos, California) is a comprehensive drug information guide that is downloadable free from the Internet and designed for the Palm OS platform align="right".
A seven-day online survey of 3,000 randomly selected ePocrates Rx users was conducted during March 2000.
User technology experience, product evaluation and usage patterns, and the effects of the drug reference database on information-seeking behavior, practice efficiency, decision making, and patient care.
The survey response rate was 32 percent (n=946). Physicians reported that ePocrates Rx saves time during information retrieval, is easily incorporated into their usual workflow, and improves drug-related decision making. They also felt that it reduced the rate of preventable adverse drug events.
Self-reported perceptions by responding clinicians endorse improved access to drug information and improved practice efficiency associated with the use of handheld devices. The clinical and practical value of using these devices in clinical settings will clearly grow further as wireless communication becomes more ubiquitous and as more applications become available.
涉及药物知识的问题是严重用药错误最常见的原因之一。尽管临床医生所需的信息通常在某处可以获取，但快速检索这些信息一直存在问题。与此同时，临床医生面临着不断扩大的药理学知识库。最近，随着手持式或掌上电脑的出现，即时医疗技术变得更加普及且实用。因此，作者评估了为掌上电脑开发的药物数据库的临床贡献。ePocrates Rx（原名qRx；ePocrates公司，加利福尼亚州圣卡洛斯）是一个全面的药物信息指南，可从互联网上免费下载，专为Palm OS平台设计。
2000年3月对3000名随机选择的ePocrates Rx用户进行了为期七天的在线调查。
用户技术体验、产品评估和使用模式，以及药物参考数据库对信息检索行为、实践效率、决策制定和患者护理的影响。
调查回复率为32%（n = 946）。医生报告称，ePocrates Rx在信息检索过程中节省了时间，易于融入他们的日常工作流程，并改善了与药物相关的决策制定。他们还认为它降低了可预防的药物不良事件的发生率。
参与调查的临床医生的自我报告认知认可了使用手持设备可改善药物信息获取并提高实践效率。随着无线通信变得更加普及以及更多应用程序可用，在临床环境中使用这些设备的临床和实用价值显然将进一步提升。
