Bosman R J
Department of Intensive Care, Onze Lieve Vrouwe Gasthuis, P.O. Box 95500, 1090 HM Amsterdam, Netherlands.
Best Pract Res Clin Anaesthesiol. 2009 Mar;23(1):15-26. doi: 10.1016/j.bpa.2008.10.001.
The number of operating rooms and intensive care departments equipped with a clinical information system (CIS) is rapidly expanding. Amongst the putative advantages of such an installation, reduction in workload for the clinician is one of the most appealing. The scarce studies looking at workload variations associated with the implementation of a CIS, only focus on direct workload discarding indirect changes in workload. Descriptions of the various methods to quantify workload are provided. The hypothesis that a third generation CIS can reduce documentation time for ICU nurses and increase time they spend on patient care, is supported by recent literature. Though it seems obvious to extrapolate these advantages of a CIS to the anesthesiology department or physicians in the intensive care, studies examining this assumption are scarce.
配备临床信息系统(CIS)的手术室和重症监护科室数量正在迅速增加。在这种设施的诸多假定优势中,减轻临床医生的工作量是最具吸引力的优势之一。为数不多的研究关注与CIS实施相关的工作量变化,但仅着眼于直接工作量,而忽略了工作量的间接变化。文中提供了各种量化工作量方法的描述。近期文献支持这样一种假设,即第三代CIS可以减少重症监护病房护士的记录时间,并增加他们用于患者护理的时间。尽管将CIS的这些优势推广到麻醉科或重症监护室医生身上似乎是显而易见的,但检验这一假设的研究却很少。