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新生儿信息学:计算机化医师医嘱录入

Neonatal Informatics: Computerized Physician Order Entry.

作者信息

Palma Jonathan P, Sharek Paul J, Classen David C, Longhurst Christopher A

机构信息

Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA.

出版信息

Neoreviews. 2011;12:393-396. doi: 10.1542/neo.12-7-e393.

Abstract

Computerized physician order entry (CPOE) is the feature of electronic medical record (EMR) implementation that arguably offers the greatest quality and patient safety benefits. The gains are potentially greater for critically ill neonates, but the effect of CPOE on quality and safety is dependent upon local implementation decisions. OBJECTIVES: After completing this article, readers should be able to: Define the basic aspects of CPOE and clinical decision support (CDS) systems.Describe the potential benefits of implementing CPOE associated with CDS in a neonatal intensive care unit (NICU).

摘要

计算机化医师医嘱录入(CPOE)是电子病历(EMR)实施的一项功能,可说是能带来最大质量提升和患者安全效益。对于危重新生儿而言,潜在收益可能更大,但CPOE对质量和安全的影响取决于当地的实施决策。目标:读完本文后,读者应能够:定义CPOE和临床决策支持(CDS)系统的基本方面。描述在新生儿重症监护病房(NICU)实施与CDS相关的CPOE的潜在益处。

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1
Meaningful use of computerized prescriber order entry.计算机化医嘱录入的合理使用。
J Patient Saf. 2010 Mar;6(1):15-23. doi: 10.1097/PTS.0b013e3181d108db.
3
The "meaningful use" regulation for electronic health records.电子健康记录的“有意义使用”规定。
N Engl J Med. 2010 Aug 5;363(6):501-4. doi: 10.1056/NEJMp1006114. Epub 2010 Jul 13.

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