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Associations between the concurrent use of clinical decision support and computerized provider order entry and the rates of appropriate prescribing at discharge.临床决策支持与计算机化医嘱录入的同时使用与出院时适当处方开具率之间的关联。
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Computerized physician order entry: promise, perils, and experience.计算机化医生医嘱录入:前景、风险与经验
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Impact of Computerized Physician Order Entry (CPOE) Coupled With Clinical Decision Support (CDS) on Radiologic Services.计算机化医师医嘱录入(CPOE)与临床决策支持(CDS)相结合对放射科服务的影响。
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引用本文的文献

1
Computerized Physician Order Entry in the Neonatal Intensive Care Unit: A Narrative Review.计算机化医嘱录入在新生儿重症监护病房的应用:叙述性综述。
Appl Clin Inform. 2019 May;10(3):487-494. doi: 10.1055/s-0039-1692475. Epub 2019 Jul 3.
2
Computerized clinical decision support for medication prescribing and utilization in pediatrics.计算机化临床决策支持在儿科药物处方和使用中的应用。
J Am Med Inform Assoc. 2012 Nov-Dec;19(6):942-53. doi: 10.1136/amiajnl-2011-000798. Epub 2012 Jul 19.

本文引用的文献

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.
2
Medicare and Medicaid programs; electronic health record incentive program. Final rule.医疗保险和医疗补助计划;电子健康记录激励计划。最终规则。
Fed Regist. 2010 Jul 28;75(144):44313-588.
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.
4
Computerized physician order entry: lessons learned from the trenches.计算机化医生医嘱录入:从实际工作中吸取的经验教训。
Neonatal Netw. 2010 Jul-Aug;29(4):235-41. doi: 10.1891/0730-0832.29.4.235.
5
Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.实施商业化的计算机医生医嘱录入系统后,医院范围内的死亡率下降。
Pediatrics. 2010 Jul;126(1):14-21. doi: 10.1542/peds.2009-3271. Epub 2010 May 3.
6
Mixed results in the safety performance of computerized physician order entry.计算机化医嘱录入的安全性能存在混合结果。
Health Aff (Millwood). 2010 Apr;29(4):655-63. doi: 10.1377/hlthaff.2010.0160.
7
The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.计算机化医嘱录入对儿科和重症监护中用药处方错误及临床结局的影响:一项系统评价。
Pediatrics. 2009 Apr;123(4):1184-90. doi: 10.1542/peds.2008-1494.
8
Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals.一种以儿科为重点的触发工具在美国儿童医院中识别与药物相关伤害的开发、测试及结果
Pediatrics. 2008 Apr;121(4):e927-35. doi: 10.1542/peds.2007-1779.
9
Computer-related medication errors in neonatal intensive care units.新生儿重症监护病房中与计算机相关的用药错误。
Clin Perinatol. 2008 Mar;35(1):119-39, ix. doi: 10.1016/j.clp.2007.11.005.
10
Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.计算机化医嘱录入对儿科住院患者药物不良事件发生率的影响。
Pediatrics. 2007 Nov;120(5):1058-66. doi: 10.1542/peds.2006-3160.

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.

DOI:10.1542/neo.12-7-e393
PMID:21804768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3146345/
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。