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使用交互式计算机医嘱集来改善治疗结果。

The use of interactive computerized order sets to improve outcomes.

作者信息

Peshek Stephanie C, Cubera Kathleen, Gleespen Linda

机构信息

Department of Pharmacy Practice, LECOM-Bradenton School of Pharmacy, Bradenton, Florida 34211, USA.

出版信息

Qual Manag Health Care. 2010 Jul-Sep;19(3):239-47. doi: 10.1097/QMH.0b013e3181dafe9c.

Abstract

An interdisciplinary team, led by a medication safety pharmacist and a nurse clinical and quality analyst, has created criteria-based, interactive order sets in a computerized physician order entry system to facilitate the ordering of evidence-based medications. These order sets are developed by consensus among physicians, nurses, and pharmacists utilizing the literature of the medical specialty, and then presented to the Pharmacy & Therapeutics Committee for approval. Once approved, the orders are built in the computer system and checked for quality by a pharmacist and 2 nurses before activation. The support of the vice president of Medical Affairs and the physician chief information officer has paved the way for physician acceptance of the orders.

摘要

一个由药物安全药剂师以及护士临床与质量分析师牵头的跨学科团队,在计算机化医师医嘱录入系统中创建了基于标准的交互式医嘱集,以促进循证药物的开具。这些医嘱集由医生、护士和药剂师根据医学专业文献达成共识后制定,然后提交给药物与治疗学委员会批准。一旦获批,医嘱将在计算机系统中生成,并在激活前由一名药剂师和两名护士进行质量检查。医疗事务副总裁和医师首席信息官的支持为医生接受这些医嘱铺平了道路。

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