Windle John, Van-Milligan Glen, Duffy Sean, McClay James, Campbell James
University of Nebraska Medical Center, Omaha, USA.
AMIA Annu Symp Proc. 2003;2003:724-7.
Computerized physician order entry (CPOE) is a disruptive technology but holds great promise for reducing medical errors, improving workflow and in the long run, producing cost-savings. However, many studies have reported significant physician resistance to implementing CPOE. In this manuscript we present a two-prong strategy for quick implementation of CPOE: 1) a web-based deployment tool using an open source, secure environment that allows rapid development and deployment of content, and 2) the development of a large set of disease specific order sets and knowledge bases based on established vocabulary standards such as LOINC and SNOMED CT by teams of multidisciplinary content experts at the departmental level. The order sets can be viewed, edited and signed through a standard browser interface. This paper presents the conceptual framework and implementation requirements for such an endeavor.
计算机化医生医嘱录入（CPOE）是一项颠覆性技术，但在减少医疗差错、改善工作流程以及从长远来看节省成本方面具有巨大潜力。然而，许多研究报告称医生对实施CPOE存在显著抵触情绪。在本手稿中，我们提出了一种快速实施CPOE的双管齐下策略：1）使用开源、安全环境的基于网络的部署工具，该工具允许快速开发和部署内容；2）由部门层面的多学科内容专家团队基于诸如LOINC和SNOMED CT等既定词汇标准开发大量特定疾病的医嘱集和知识库。这些医嘱集可通过标准浏览器界面进行查看、编辑和签署。本文介绍了此类工作的概念框架和实施要求。
