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基于个人数字助理(PDA)的患者记录与图表系统的实施:经验教训

The implementation of a Personal Digital Assistant (PDA) based patient record and charting system: lessons learned.

作者信息

Carroll Aaron E, Saluja Sunil, Tarczy-Hornoch Peter

机构信息

Robert Wood Johnson Clinical Scholars Program, University of Washington, Seattle, WA, USA.

出版信息

Proc AMIA Symp. 2002:111-5.

PMID:12463797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2244531/
Abstract

Personal Digital Assistants (PDAs) offer many potential advantages to clinicians. A number of systems have begun to appear for all types of PDAs that allow for the recording and tracking of patient information. PDAs allow information to be both entered and accessed at the point of care. They also allow information entered away from a central repository to be added or "synced" with data through the use of a wireless or wired connection. Few systems, however, have been designed to work in the client/server environment. Even fewer have been designed as point of care additions to already existing enterprise systems. This paper describes the issues encountered in deploying such a system for use in the University of Washington Neonatal Intensive Care Unit (NICU). The lessons learned could be applied to other institutions that will seek to add handheld technology to information systems in the future.

摘要

个人数字助理(PDA)为临床医生提供了许多潜在优势。针对各类PDA,已经出现了一些系统,可用于记录和跟踪患者信息。PDA允许在护理点输入和访问信息。它们还允许通过无线或有线连接,将在远离中央存储库的地方输入的信息与数据进行添加或“同步”。然而,很少有系统设计为能在客户端/服务器环境中运行。设计为现有企业系统护理点附加组件的则更少。本文描述了在华盛顿大学新生儿重症监护病房(NICU)部署这样一个系统时遇到的问题。所吸取的经验教训可应用于未来寻求将手持技术添加到信息系统的其他机构。

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本文引用的文献

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Implementing information systems in health care organizations: myths and challenges.医疗保健机构中信息系统的实施:误区与挑战。
Int J Med Inform. 2001 Dec;64(2-3):143-56. doi: 10.1016/s1386-5056(01)00200-3.
2
Why implementing EPR's does not bring about organizational changes--a qualitative approach.为何实施电子病人记录系统未能带来组织变革——一种定性研究方法
Stud Health Technol Inform. 2001;84(Pt 1):666-9.
3
Wireless clinical alerts for physiologic, laboratory and medication data.针对生理、实验室和用药数据的无线临床警报。
Proc AMIA Symp. 2000:789-93. doi: 10.1109/hicss.2000.926784.
4
Family practice clerkship encounters documented with structured phrases on paper and hand-held computer logs.在纸质和手持计算机日志上用结构化短语记录的家庭医学实习经历。
Proc AMIA Symp. 2000:547-50.
5
Secure remote access to a clinical data repository using a wireless personal digital assistant (PDA).使用无线个人数字助理(PDA)安全远程访问临床数据存储库。
Proc AMIA Symp. 2000:210-4.
6
Electronic medical record implementation barriers encountered during implementation.实施过程中遇到的电子病历实施障碍。
Proc AMIA Symp. 1999:624-6.