Appl Clin Inform. 2010 Apr 28;1(2):116-31. doi: 10.4338/ACI-2009-12-CR-0027. Print 2010.
The introduction of electronic medical records (EMR) and computerized physician order entry (CPOE) into the intensive care unit (ICU) is transforming the way health care providers currently work. The challenge facing developers of EMR's is to create products which add value to systems of health care delivery. As EMR's become more prevalent, the potential impact they have on the quality and safety, both negative and positive, will be amplified. In this paper we outline the key barriers to effective use of EMR and describe the methodology, using a worked example of the output. AWARE (Ambient Warning and Response Evaluation), is a physician led, electronic-environment enhancement program in an academic, tertiary care institution's ICU. The development process is focused on reducing information overload, improving efficiency and eliminating medical error in the ICU.
电子病历(EMR)和计算机化医嘱录入(CPOE)在重症监护病房(ICU)中的引入正在改变医疗保健提供者目前的工作方式。EMR 开发者面临的挑战是创建对医疗保健提供系统有增值作用的产品。随着 EMR 的普及,它们对质量和安全的潜在影响(包括负面影响和正面影响)将被放大。在本文中,我们概述了有效使用 EMR 的关键障碍,并描述了使用一个学术性三级护理机构 ICU 中的输出工作示例的方法。AWARE(环境警示和响应评估)是一个由医生主导的、电子环境增强项目。该开发过程专注于减少 ICU 中的信息过载、提高效率和消除医疗错误。