Saathoff April
University of Maryland, Baltimore's Nursing Informatics Program, USA.
J Healthc Inf Manag. 2005 Summer;19(3):71-8.
Although many studies have discussed the benefits of computerized provider order entry (CPOE), the actual number of hospitals using this technology remains low because of the many challenges that accompany the implementation of CPOE in healthcare facilities. It is common for user resistance to challenge implementation efforts. As more hospitals undertake CPOE implementations, a solid understanding of how to foster acceptance of CPOE is necessary to reap the benefits of medical error reduction, improved quality of care, and decreased healthcare costs. The principles and practices of human factors can be used to bolster physician satisfaction and increase usability, thereby increasing the chances of success for CPOE implementation. This article reviews the recent literature regarding CPOE and human factors, discussing how the human factors principles of task analysis, interface design, and computer supported cooperative work can be utilized to promote user acceptance and enhance CPOE implementation efforts.
尽管许多研究都讨论了计算机化医嘱录入(CPOE)的益处,但由于在医疗机构中实施CPOE会面临诸多挑战,实际使用这项技术的医院数量仍然很少。用户抵制往往会对实施工作构成挑战。随着越来越多的医院开展CPOE实施工作,要想获得减少医疗差错、提高护理质量和降低医疗成本等益处,就必须扎实地了解如何促进对CPOE的接受。人因学的原理和实践可用于提高医生满意度并增强易用性,从而增加CPOE实施成功的机会。本文回顾了近期有关CPOE和人因学的文献,探讨了任务分析、界面设计和计算机支持的协同工作等人因学原理如何能够用于促进用户接受并加强CPOE实施工作。