Baron Jason M, Dighe Anand S
Department of Pathology, Massachusetts General Hospital, Bigelow 510, 55 Fruit Street, Boston, MA 02144.
J Pathol Inform. 2011;2:35. doi: 10.4103/2153-3539.83740. Epub 2011 Aug 13.
Clinicians have traditionally ordered laboratory tests using paper-based orders and requisitions. However, paper orders are becoming increasingly incompatible with the complexities, challenges, and resource constraints of our modern healthcare systems and are being replaced by electronic order entry systems. Electronic systems that allow direct provider input of diagnostic testing or medication orders into a computer system are known as Computerized Provider Order Entry (CPOE) systems. Adoption of laboratory CPOE systems may offer institutions many benefits, including reduced test turnaround time, improved test utilization, and better adherence to practice guidelines. In this review, we outline the functionality of various CPOE implementations, review the reported benefits, and discuss strategies for using CPOE to improve the test ordering process. Further, we discuss barriers to the implementation of CPOE systems that have prevented their more widespread adoption.
传统上，临床医生使用纸质订单和申请单来安排实验室检查。然而，纸质订单越来越难以适应现代医疗系统的复杂性、挑战和资源限制，正逐渐被电子订单录入系统所取代。允许医疗服务提供者直接在计算机系统中输入诊断检查或用药订单的电子系统被称为计算机化医疗服务提供者订单录入（CPOE）系统。采用实验室CPOE系统可能会给医疗机构带来诸多益处，包括缩短检查周转时间、提高检查利用率以及更好地遵循实践指南。在本综述中，我们概述了各种CPOE实施的功能，回顾了已报道的益处，并讨论了使用CPOE改善检查订单流程的策略。此外，我们还讨论了阻碍CPOE系统更广泛应用的实施障碍。
