Tolomeo Concettina, Shiffman Richard, Bazzy-Asaad Alia
Yale School of Medicine, Pediatric Respiratory Medicine, New Haven, CT 06520-8064, USA.
J Asthma. 2008 Nov;45(9):849-51. doi: 10.1080/02770900802380803.
There are numerous known benefits associated with the use of an electronic medical record (EMR). In October of 2004, a pediatric respiratory medicine practice at a major academic institution began the process of implementing an EMR system. Through this process, another benefit was realized, improved coordination between out-patient and in-patient care in relation to asthma education. The process began with the formation of an implementation team. The team consisted of technical as well as clinical experts from various disciplines. Together the team developed templates, decision support tools and standardized patient care letters. The team also determined workflow and provided training on the EMR system. A major benefit associated with EMR implementation was the increase in the number of children who were hospitalized with an asthma exacerbation and received an asthma action plan upon discharge. Prior to the EMR system, 4% received an asthma action plan upon discharge. After implementation of the EMR system, 58% received an asthma action plan upon discharge.
使用电子病历（EMR）有许多已知的益处。2004年10月，一所主要学术机构的儿科呼吸医学实践开始了实施EMR系统的过程。通过这个过程，还实现了另一个益处，即改善了门诊和住院护理在哮喘教育方面的协调。这个过程始于组建一个实施团队。该团队由来自各个学科的技术和临床专家组成。团队共同开发了模板、决策支持工具和标准化的患者护理信函。团队还确定了工作流程并提供了EMR系统培训。与实施EMR相关的一个主要益处是，因哮喘加重住院并在出院时收到哮喘行动计划的儿童数量有所增加。在EMR系统之前，4%的儿童在出院时收到哮喘行动计划。在实施EMR系统之后，58%的儿童在出院时收到哮喘行动计划。
