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社区医院中商用计算机化医嘱录入系统的现场评估

Field evaluation of commercial Computerized Provider Order Entry systems in community hospitals.

作者信息

Guappone Kenneth P, Ash Joan S, Sittig Dean F

机构信息

Oregon Health & Science University, Portland,OR, USA.

出版信息

AMIA Annu Symp Proc. 2008 Nov 6;2008:263-7.

Abstract

Computerized Provider Order Entry (CPOE) is an important component of the electronic health record, but there has been some difficulty with user acceptance, and this is often due to poor computer interface usability which disrupts clinician workflow. This qualitative research employed usability engineering methods to study community hospital physicians using commercial CPOE systems while in a naturalistic context. Numerous usability problems were uncovered with this effective technique. Field usability testing should be considered in all institutions implementing CPOE or other clinical computer applications as a means of improving the usability and acceptance of those systems.

摘要

计算机化医嘱录入系统(CPOE)是电子健康记录的重要组成部分,但在用户接受方面存在一些困难,这通常是由于计算机界面可用性差,扰乱了临床医生的工作流程。这项定性研究采用可用性工程方法,在自然环境中研究社区医院医生使用商业CPOE系统的情况。通过这种有效技术发现了许多可用性问题。在所有实施CPOE或其他临床计算机应用程序的机构中,都应考虑进行现场可用性测试,作为提高这些系统的可用性和可接受性的一种手段。

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J Am Med Inform Assoc. 2007 Jan-Feb;14(1):48-55. doi: 10.1197/jamia.M2248. Epub 2006 Oct 31.
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Types of unintended consequences related to computerized provider order entry.与计算机化医嘱录入相关的非预期后果类型。
J Am Med Inform Assoc. 2006 Sep-Oct;13(5):547-56. doi: 10.1197/jamia.M2042. Epub 2006 Jun 23.
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Ann Intern Med. 2003 Jul 1;139(1):31-9. doi: 10.7326/0003-4819-139-1-200307010-00010.

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