Tan Yung-Ming, Hii Joshua, Chan Katherine, Sardual Robert, Mah Benjamin
Department of Medical Informatics, Khoo Teck Puat Hospital, Singapore.
Stud Health Technol Inform. 2013;192:190-4.
With the introduction of CPOE systems, nurses in a Singapore hospital were facing difficulties monitoring key patient information such as critical tasks and alerts. Issues include unfriendly user interfaces of clinical systems, information overload, and the loss of visual cues for action due to paperless workflows. The hospital decided to implement an interactive electronic dashboard on top of their CPOE system to improve visibility of vital patient data. A post-implementation survey was performed to gather end-user feedback and evaluate factors that influence user satisfaction of the dashboard. Questionnaires were sent to all nurses of five pilot wards. 106 valid responses were received. User adoption was good with 86% of nurses using the dashboard every shift. Mean satisfaction score was 3.6 out of 5. User satisfaction was strongly and positively correlated to the system's perceived impact on work efficiency and care quality. From qualitative feedback, nurses generally agreed that the dashboard had improved their awareness of critical patient issues without the hassle of navigating a CPOE system. This study shows that an interactive clinical dashboard when properly integrated with a CPOE system could be a useful tool to improve daily patient care.
随着计算机化医嘱录入（CPOE）系统的引入，新加坡一家医院的护士在监测关键患者信息（如关键任务和警报）时面临困难。问题包括临床系统用户界面不友好、信息过载以及无纸化工作流程导致行动视觉线索丢失。该医院决定在其CPOE系统之上实施一个交互式电子仪表盘，以提高重要患者数据的可见性。实施后进行了一项调查，以收集最终用户的反馈并评估影响仪表盘用户满意度的因素。问卷被发送给五个试点病房的所有护士。共收到106份有效回复。用户采用情况良好，86%的护士每次轮班都使用该仪表盘。平均满意度得分为3.6（满分5分）。用户满意度与系统对工作效率和护理质量的感知影响呈强烈正相关。从定性反馈来看，护士们普遍认为该仪表盘提高了他们对关键患者问题的认识，而无需在CPOE系统中费力查找。这项研究表明，一个交互式临床仪表盘与CPOE系统正确集成时，可能是改善日常患者护理的有用工具。
