Jacobs Brian
Center for Pediatric Informatics, Children's National Medical Center, Washington, DC, USA.
Pediatr Crit Care Med. 2007 Mar;8(2 Suppl):S17-20. doi: 10.1097/01.PCC.0000257484.86356.39.
Automated extraction of data from computer-based medical records for use in quality improvement has been described for >20 yrs.
This article reviews the role of the electronic medical record in automating adverse event detection in the study of medication errors, nosocomial infection, and in the perioperative setting. In addition, the use of the electronic medical record in the detection and reduction of delays in STAT (at once) radiology testing and respiratory therapy treatment will be reviewed.
The electronic medical record, including computerized provider order entry, can have an important effect on medical error detection and reduction.
从基于计算机的医疗记录中自动提取数据以用于质量改进，这一做法已有20多年的描述。
本文回顾了电子病历在药物错误、医院感染及围手术期不良事件检测自动化中的作用。此外，还将回顾电子病历在检测和减少急诊（立即）放射检查及呼吸治疗延迟方面的应用。
电子病历，包括计算机化医嘱录入，对医疗差错的检测和减少可产生重要影响。
