Teufel Ronald J, Kazley Abby Swanson, Basco William T
Department of Pediatrics and Internal Medicine, Medical University of South Carolina, Charleston, South Carolina 29425, USA.
Clin Pediatr (Phila). 2009 May;48(4):389-96. doi: 10.1177/0009922809331801. Epub 2009 Feb 17.
To determine national estimates of computerized physician order entry (CPOE) use for 2003 in hospitals that care for children.
Retrospective cohort analysis.
Six percent of the hospitals used CPOE (119 out of 2145). Children's hospitals are more likely to use CPOE than a children's unit (odds ratio [OR] = 6; 95% confidence interval [CI] = 1.5-23.9). Private for-profit hospitals are more likely to use CPOE than public hospitals (OR = 26.5; 95% CI = 3.1-224.8). Urban teaching hospitals are more likely to use CPOE than rural hospitals (OR = 3.9; 95% CI = 1.7-8.8). Hospitals in the Northeast, Midwest, and South are more likely to use CPOE than hospitals in the West (OR = 11.2, 95% CI = 4.8-26.5; OR = 4.2, 95% CI = 1.7-10.5; OR = 3.1, 95% CI = 1.5-6.3, respectively).
In 2003, 6% of the hospitals that care for children reported using CPOE. Early adoption of CPOE was associated with children's hospitals, private hospitals, urban-teaching hospitals, and hospitals outside of the western region.
确定2003年为儿童提供护理服务的医院中计算机化医嘱录入（CPOE）系统的全国使用情况估计值。
回顾性队列分析。
6%的医院使用了CPOE系统（2145家医院中有119家）。儿童医院比儿科病房更有可能使用CPOE系统（优势比[OR]=6；95%置信区间[CI]=1.5 - 23.9）。私立营利性医院比公立医院更有可能使用CPOE系统（OR = 26.5；95% CI = 3.1 - 224.8）。城市教学医院比农村医院更有可能使用CPOE系统（OR = 3.9；95% CI = 1.7 - 8.8）。东北部、中西部和南部的医院比西部的医院更有可能使用CPOE系统（分别为OR = 11.2，95% CI = 4.8 - 26.5；OR = 4.2，95% CI = 1.7 - 10.5；OR = 3.1，95% CI = 1.5 - 6.3）。
2003年，6%的儿童护理医院报告使用了CPOE系统。CPOE系统的早期采用与儿童医院、私立医院、城市教学医院以及西部地区以外的医院有关。
