Fumis Renata Rego Lins, Costa Eduardo Leite Vieira, Martins Paulo Sergio, Pizzo Vladimir, Souza Ivens Augusto, Schettino Guilherme de Paula Pinto
Unidade de Terapia Intensiva para Adultos, Hospital Sírio-Libanês, São Paulo, SP, Brasil.
Rev Bras Ter Intensiva. 2014 Jan-Mar;26(1):1-6. doi: 10.5935/0103-507x.20140001.
To evaluate the satisfaction of the intensive care unit staff with a computerized physician order entry and to compare the concept of the computerized physician order entry relevance among intensive care unit healthcare workers.
We performed a cross-sectional survey to assess the satisfaction of the intensive care unit staff with the computerized physician order entry in a 30-bed medical/surgical adult intensive care unit using a self-administered questionnaire. The questions used for grading satisfaction levels were answered according to a numerical scale that ranged from 1 point (low satisfaction) to 10 points (high satisfaction).
The majority of the respondents (n=250) were female (66%) between the ages of 30 and 35 years of age (69%). The overall satisfaction with the computerized physician order entry scored 5.74±2.14 points. The satisfaction was lower among physicians (n=42) than among nurses, nurse technicians, respiratory therapists, clinical pharmacists and diet specialists (4.62±1.79 versus 5.97±2.14, p<0.001); satisfaction decreased with age (p<0.001). Physicians scored lower concerning the potential of the computerized physician order entry for improving patient safety (5.45±2.20 versus 8.09±2.21, p<0.001) and the ease of using the computerized physician order entry (3.83±1.88 versus 6.44±2.31, p<0.001). The characteristics independently associated with satisfaction were the system's user-friendliness, accuracy, capacity to provide clear information, and fast response time.
Six months after its implementation, healthcare workers were satisfied, albeit not entirely, with the computerized physician order entry. The overall users' satisfaction with computerized physician order entry was lower among physicians compared to other healthcare professionals. The factors associated with satisfaction included the belief that digitalization decreased the workload and contributed to the intensive care unit quality with a user-friendly and accurate system and that digitalization provided concise information within a reasonable time frame.
评估重症监护病房工作人员对计算机化医师医嘱录入系统的满意度，并比较重症监护病房医护人员对计算机化医师医嘱录入系统相关性的看法。
我们进行了一项横断面调查，以使用自填式问卷评估一家拥有30张床位的成人内科/外科重症监护病房的工作人员对计算机化医师医嘱录入系统的满意度。用于评定满意度水平的问题根据从1分（低满意度）到10分（高满意度）的数字量表进行回答。
大多数受访者（n = 250）为女性（66%），年龄在30至35岁之间（69%）。对计算机化医师医嘱录入系统的总体满意度得分为5.74±2.14分。医师（n = 42）的满意度低于护士、护理技术员、呼吸治疗师、临床药剂师和饮食专家（4.62±1.79对5.97±2.14，p<0.001）；满意度随年龄增长而降低（p<0.001）。医师在计算机化医师医嘱录入系统改善患者安全的潜力方面得分较低（5.45±2.20对8.09±2.21，p<0.001），在使用计算机化医师医嘱录入系统的便捷性方面得分也较低（3.83±1.88对6.44±2.31，p<0.001）。与满意度独立相关的特征包括系统的用户友好性、准确性、提供清晰信息的能力和快速响应时间。
在实施计算机化医师医嘱录入系统六个月后，医护人员对其虽不完全满意，但总体上是满意的。与其他医疗专业人员相比，医师对计算机化医师医嘱录入系统的总体用户满意度较低。与满意度相关的因素包括认为数字化减轻了工作量，并通过用户友好且准确的系统提高了重症监护病房的质量，以及数字化在合理时间内提供了简洁信息。
