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重症监护中的计算机化医师医嘱录入

Computerized physician order entry in critical care.

作者信息

Colpaert Kirsten, Decruyenaere Johan

机构信息

Department of Intensive Care Medicine, Ghent University Hospital, De Pintelaan 185, B-9000 Ghent, Belgium.

出版信息

Best Pract Res Clin Anaesthesiol. 2009 Mar;23(1):27-38. doi: 10.1016/j.bpa.2008.07.002.

Abstract

Computerized physician order entry means prescribing of medication and ordering laboratory tests or radiology examinations in an electronic way instead of using paper forms. In itself, it offers advantages such as legible orders, faster order completion, inventory management and automatic billing. If combined with clinical decision support, the real benefits of CPOE become apparent in the first place by prevention of medication errors and adverse drug events. On the contrary, if CPOE configuration is not done carefully, adverse drug events can be facilitated. Therefore, and for reasons of end-user acceptance, implementation is challenging. CPOE has the potential for significant economic saving. However, the initial implementation cost is high.

摘要

计算机化医生医嘱录入是指以电子方式开具药物处方、安排实验室检查或放射检查,而不是使用纸质表格。其本身具有一些优势,如医嘱清晰可读、医嘱完成速度更快、库存管理以及自动计费。如果与临床决策支持相结合,计算机化医生医嘱录入的真正益处首先体现在预防用药错误和药物不良事件方面。相反,如果计算机化医生医嘱录入的配置不仔细,可能会促成药物不良事件的发生。因此,出于最终用户接受度的考虑,实施起来具有挑战性。计算机化医生医嘱录入有显著节省经济成本的潜力。然而,初始实施成本很高。

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