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急诊科实施计算机化医嘱录入:对胸痛患者医嘱模式的影响

Implementation of computerized provider order entry in the emergency department: impact on ordering patterns in patients with chest pain.

作者信息

Adam Terrence, Aronsky Dominik, Jones Ian, Waitman Lemuel R

机构信息

Dept. of Internal Medicine, Mayo Clinic, Scottsdale, AZ, USA.

出版信息

AMIA Annu Symp Proc. 2005;2005:879.

PMID:16779166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1560688/
Abstract

The impact of implementing a Computerized Provider Order Entry System on ordering patterns is unknown. This study evaluated ordering patterns for CBC, ECG, chest x-ray, BMP, and cardiac enzymes in randomly selected chest pain patients in an adult Emergency Department pre- and post-implementation. The average number of orders documented was significantly higher after implementation for ECG and chest x-ray, but not for the other exams. Order completion times did not change.

摘要

实施计算机化医嘱录入系统对医嘱开具模式的影响尚不清楚。本研究评估了在实施前后,从成人急诊科随机选取的胸痛患者中,血常规、心电图、胸部X光、基本代谢指标以及心肌酶的医嘱开具模式。实施后,心电图和胸部X光记录的平均医嘱数量显著增加,但其他检查的医嘱数量未增加。医嘱完成时间没有变化。

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