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重点医院在实施电子健康记录方面的经验教训。

Lessons premier hospitals learned about implementing electronic health records.

机构信息

Premier health care alliance, in Washington, DC, USA.

出版信息

Health Aff (Millwood). 2010 Apr;29(4):664-7. doi: 10.1377/hlthaff.2010.0250.

DOI:10.1377/hlthaff.2010.0250
PMID:20368596
Abstract

Implementing health information technology (IT) is a major strategic objective for providers. To pinpoint considerations that tie to success, the Premier health care alliance surveyed hospitals to develop an electronic health record best-practices library. Compiled from diverse health care organizations, the library outlines considerations to support "meaningful use" in the areas of computerized physician order entry, medication management, clinical documentation, reporting of measures, privacy, information exchange, management of populations' health, and personal health records. Best practices also uncovered strategies for securing executive leadership, culture change, communication, and support for clinicians. This paper summarizes lessons from the library, providing recommendations to speed up health IT implementation.

摘要

实施健康信息技术 (IT) 是医疗机构的主要战略目标。为了明确与成功相关的考虑因素,Premier 医疗联盟调查了医院,以开发电子健康记录最佳实践库。该库由不同的医疗保健组织编制,概述了在计算机化医嘱录入、药物管理、临床文档、措施报告、隐私、信息交换、人群健康管理和个人健康记录等领域支持“有意义使用”的考虑因素。最佳实践还揭示了为临床医生获取高管领导力、文化变革、沟通和支持的策略。本文总结了该库的经验教训,为加快健康 IT 实施提供了建议。

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