University of St Thomas, Minneapolis, MN 55403-2005, USA.
Health Informatics J. 2010 Dec;16(4):306-18. doi: 10.1177/1460458210380523.
An EMR system implementation would significantly reduce clinician workload and medical errors while saving the US healthcare system major expense. Yet, compared to other developed nations, the US lags behind. This article examines EMR system efforts, benefits, and barriers, as well as steps needed to move the US closer to a nationwide EMR system. The analysis includes a blueprint for implementation of EMR, industry comparisons to highlight the differences between successful and non-successful EMR ventures, references to costs and benefit information, and identification of root causes. 'Poka-yokes' (avoid (yokeru) mistakes (poka)) will be inserted to provide insight into how to systematically overcome challenges. Implementation will require upfront costs including patient privacy that must be addressed early in the development process. Government structure, incentives and mandates are required for nationwide EMR system in the US.
EMR 系统的实施将显著减少临床医生的工作量和医疗失误，同时为美国医疗保健系统节省大量开支。然而，与其他发达国家相比，美国却落后了。本文探讨了 EMR 系统的努力、效益和障碍，以及使美国更接近全国性 EMR 系统所需的步骤。该分析包括 EMR 的实施蓝图，与行业的比较，以突出成功和非成功的 EMR 风险投资之间的差异，对成本和效益信息的参考，以及根本原因的识别。“防错”（避免（yokeru）错误（poka））将被插入，以提供如何系统地克服挑战的见解。实施将需要前期成本，包括患者隐私，这必须在开发过程的早期得到解决。美国需要建立全国性的 EMR 系统，需要政府结构、激励措施和授权。
