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英国国民医疗服务体系(NHS)医院电子处方系统的计划实施情况:一项问卷调查研究

Planned implementations of ePrescribing systems in NHS hospitals in England: a questionnaire study.

作者信息

Crowe Sarah, Cresswell Kathrin, Avery Anthony J, Slee Ann, Coleman Jamie J, Sheikh Aziz

机构信息

School of Community Health Sciences, The University of Nottingham , Nottingham , UK.

出版信息

JRSM Short Rep. 2010 Sep 20;1(4):33. doi: 10.1258/shorts.2010.010040.

Abstract

OBJECTIVES

To describe the plans of English NHS hospitals to implement ePrescribing systems.

DESIGN AND SETTING

Questionnaire-based survey of attendees of the National ePrescribing Forum.

PARTICIPANTS

A piloted questionnaire was distributed to all NHS and non-NHS hospital-based attendees. The questionnaire enquired about any completed or planned implementation of ePrescribing systems, the specific systems of interest, and functionality they offered.

MAIN OUTCOME MEASURES

Estimate of the number of NHS Trusts planning to implement ePrescribing systems.

RESULTS

Ninety-one of the 166 questionnaires distributed to NHS hospital-based staff were completed and returned. Of those, six were incomplete, resulting in a total usable response rate of 51% (n = 85). Eighty-two percent (n = 46) of the 56 Trusts represented at the Forum were either 'thinking of implementing' or 'currently implementing' an ePrescribing system, such as Ascribe (13%, n = 7) and JAC (20%, n = 11). Forty percent (n = 22) of respondents specified other systems, including those procured by NHS Connecting for Health e.g. RiO, Lorenzo and Cerner. Knowledge support, decision support and computerized links to other elements of patients' individual care records were the functionalities of greatest interest.

CONCLUSION

There is considerable reported interest and activity in implementing ePrescribing systems in hospitals across England. Whether such developments have the desired impact on improving the safety of prescribing is however, yet to be determined.

摘要

目标

描述英国国民健康服务体系(NHS)医院实施电子处方系统的计划。

设计与背景

对全国电子处方论坛的参会者进行基于问卷调查的研究。

参与者

向所有NHS及非NHS的医院参会者发放了一份经过试点的问卷。该问卷询问了电子处方系统的任何已完成或计划实施的情况、感兴趣的具体系统及其提供的功能。

主要观察指标

对计划实施电子处方系统的NHS信托机构数量的估计。

结果

向NHS医院工作人员发放的166份问卷中,有91份被填写并返回。其中6份不完整,最终有效回复率为51%(n = 85)。在论坛上有代表的56家信托机构中,82%(n = 46)要么“正在考虑实施”,要么“正在实施”电子处方系统,如Ascribe(13%,n = 7)和JAC(20%,n = 11)。40%(n = 22)的受访者提到了其他系统,包括由NHS Connecting for Health采购的系统,如RiO、Lorenzo和Cerner。知识支持、决策支持以及与患者个人护理记录其他部分的计算机化链接是最受关注的功能。

结论

据报道,英格兰各地医院对实施电子处方系统有相当大的兴趣和行动。然而,这些发展是否能对提高处方安全性产生预期影响,尚待确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/953c/2984353/229f68796d35/SHORTS-10-04001.jpg

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