Berger Robert G, Kichak J P
University of North Carolina School of Medicine, UNC Health Care System, CB 7280, Chapel Hill, NC 27599, USA.
J Am Med Inform Assoc. 2004 Mar-Apr;11(2):100-3. doi: 10.1197/jamia.M1411. Epub 2003 Nov 21.
Computerized physician order entry (CPOE) is touted as a major improvement in patient safety, primarily as a result of the Institute of Medicine's 1999 report on medical errors and the subsequent formation of the "Leapfrog Group" of companies to preferentially direct their employees' health care to those institutions that install such systems (as part of directives that "Leapfrog" feels will improve patient care). Although the literature suggests that such systems have the potential to improve patient outcomes through decrease of adverse drug events, actual improvements in medical outcomes have not been documented. Installation of such systems could actually increase the number of adverse drug events and result in higher overall medical costs, particularly in the first few years of their adoption.
计算机化医师医嘱录入系统（CPOE）被吹捧为患者安全方面的一项重大改进，这主要归功于医学研究所1999年关于医疗差错的报告，以及随后成立的“跨越医疗集团”（Leapfrog Group）。该集团旗下公司优先将员工的医疗保健业务导向那些安装了此类系统的机构（作为“跨越医疗集团”认为能改善患者护理的指令的一部分）。尽管文献表明此类系统有潜力通过减少药物不良事件来改善患者预后，但尚未有医学预后实际改善的记录。安装此类系统实际上可能会增加药物不良事件的数量，并导致总体医疗成本上升，尤其是在采用这些系统的头几年。
