医生医嘱录入的认知：一项跨站点定性研究的结果
Perceptions of physician order entry: results of a cross-site qualitative study.
作者信息
Ash J S, Gorman P N, Lavelle M, Stavri P Z, Lyman J, Fournier L, Carpenter J
机构信息
Division of Medical informatics and Outcomes Research School of Medicine, Oregon Health & Science University 3181 SW Sam Jackson Park Road Partland, OR 97201-3098, USA.
出版信息
Methods Inf Med. 2003;42(4):313-23.
OBJECTIVE
To identify perspectives of success factors for implementing computerized physician order entry (POE) in the inpatient setting.
DESIGN
Qualitative study by a multidisciplinary team using data from observation, focus groups, and both formal and informal interviews. Data were analyzed using a grounded approach to develop a taxonomy of patterns and themes from the transcripts and field notes.
RESULTS
A taxonomy of ten high level themes was developed, including 1) separating POE from other processes, 2) terms, concepts, and connotations, 3) context, 4) tradeoffs, 5) conflicts and contradictions, 6) collaboration and trust, 7) leaders and bridgers, 8) the organization of information, 9) the ongoing nature of implementation, and 10) temporal concerns.
CONCLUSION
The identified success factors indicate that POE implementation is an iterative and difficult process, but informants perceive it is worth the effort.
目的
确定在住院环境中实施计算机化医师医嘱录入（POE）的成功因素观点。
设计
多学科团队进行的定性研究，使用来自观察、焦点小组以及正式和非正式访谈的数据。采用扎根方法对数据进行分析，从转录本和实地记录中开发模式和主题的分类法。
结果
制定了一个包含十个高级主题的分类法，包括1）将POE与其他流程分开，2）术语、概念和内涵，3）背景，4）权衡，5）冲突和矛盾，6）协作与信任，7）领导者和协调者，8）信息组织，9）实施的持续性，以及10）时间问题。
结论
确定的成功因素表明，POE实施是一个迭代且困难的过程，但受访者认为值得付出努力。
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