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计算机化医师医嘱录入:我们做到了吗?

Computerized physician-order entry: are we there yet?

作者信息

Foster Runi A, Antonelli Patrick J

机构信息

Division of Pulmonary and Critical Care Medicine, University of Florida College of Medicine, PO Box 100225, Gainesville, FL 32610-0225, USA.

出版信息

Otolaryngol Clin North Am. 2002 Dec;35(6):1237-43, vii. doi: 10.1016/s0030-6665(02)00088-9.

Abstract

Computerized physician-order entry (CPOE) is a system of hardware and software through which a physician enters orders directly into a computer rather than writing them on paper. The advantages of CPOE include order legibility, improved response time, reduction in adverse drug reactions, reduced cost of care, and improved patient outcomes. The maturation of mobile computing platforms, graphical user interfaces, and wireless technologies are making CPOE more practical for both outpatient and inpatient care. Significant barriers to the implementation of CPOE include the reluctance of physicians to change existing practices, doubt about the possible benefits, increased front-end time to enter orders, and system cost.

摘要

计算机化医生医嘱录入(CPOE)是一种软硬件系统,医生可通过该系统直接将医嘱录入计算机,而非写在纸上。CPOE的优点包括医嘱清晰易读、响应时间缩短、药物不良反应减少、护理成本降低以及患者预后改善。移动计算平台、图形用户界面和无线技术的成熟,使得CPOE在门诊和住院护理中都更具实用性。CPOE实施的重大障碍包括医生不愿改变现有做法、对可能益处的怀疑、录入医嘱的前端时间增加以及系统成本。

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