医院环境中电子处方的影响：一项以流程为重点的评估。
Impact of electronic prescribing in a hospital setting: a process-focused evaluation.
作者信息
Cunningham Thomas R, Geller E Scott, Clarke Steven W
机构信息
Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061, United States.
出版信息
Int J Med Inform. 2008 Aug;77(8):546-54. doi: 10.1016/j.ijmedinf.2007.10.008. Epub 2007 Nov 28.
OBJECTIVE
To evaluate effects of a natural CPOE implementation in a hospital setting and inform the efficacy of using CPOE rather than traditional paper medication orders.
DESIGN
A multiple-baseline, quasi-experimental study of a naturally occurring CPOE intervention, with a non-equivalent control site.
MEASUREMENTS
Compliance with medication-ordering protocols and time to first dose of antibiotics.
RESULTS
Medication orders placed using CPOE were significantly more compliant than paper-based medication orders, and first doses of antibiotics were delivered significantly faster when ordered with CPOE than when placed using the standard paper-based system (p<.01).
CONCLUSION
Findings support the use of CPOE and justify the need for interventions to increase CPOE adoption and consistent use among physicians.
目的
评估在医院环境中自然实施计算机化医师医嘱录入（CPOE）的效果，并为使用CPOE而非传统纸质医嘱的有效性提供依据。
设计
一项对自然发生的CPOE干预进行的多基线、准实验研究，设有一个非等效对照点。
测量指标
对医嘱协议的依从性以及至首剂抗生素给药的时间。
结果
使用CPOE开具的医嘱比纸质医嘱的依从性显著更高，并且与使用标准纸质系统开具医嘱相比，使用CPOE开具医嘱时首剂抗生素的给药速度显著更快（p<0.01）。
结论
研究结果支持使用CPOE，并证明有必要采取干预措施以提高CPOE在医生中的采用率和持续使用率。
Zotero 插件