Pediatrics. 2015 Mar;135(3):e756-68. doi: 10.1542/peds.2014-4148.
In the past 3 years, the Health Information Technology for Economic and Clinical Health Act accelerated the adoption of electronic health records (EHRs) with providers and hospitals, who can claim incentive monies related to meaningful use. Despite the increase in adoption of commercial EHRs in pediatric settings, there has been little support for EHR tools and functionalities that promote pediatric quality improvement and patient safety, and children remain at higher risk than adults for medical errors in inpatient environments. Health information technology (HIT) tailored to the needs of pediatric health care providers can improve care by reducing the likelihood of errors through information assurance and minimizing the harm that results from errors. This technical report outlines pediatric-specific concepts, child health needs and their data elements, and required functionalities in inpatient clinical information systems that may be missing in adult-oriented HIT systems with negative consequences for pediatric inpatient care. It is imperative that inpatient (and outpatient) HIT systems be adapted to improve their ability to properly support safe health care delivery for children.
在过去的 3 年里，《经济与临床健康信息技术法案》加速了电子健康记录 (EHR) 在医疗服务提供者和医院中的采用，这些机构可以就有意义的使用(EHR 的使用)申请激励资金。尽管在儿科环境中，商业电子健康记录的采用有所增加，但对于促进儿科质量改进和患者安全的电子健康记录工具和功能的支持却很少，儿童在住院环境中发生医疗错误的风险仍然高于成人。针对儿科医疗服务提供者需求定制的健康信息技术 (HIT) 可以通过信息保障来降低错误的可能性，并最大限度地减少错误造成的伤害，从而改善医疗服务。本技术报告概述了儿科特定的概念、儿童健康需求及其数据元素，以及住院临床信息系统中所需的功能，而这些功能在面向成人的 HIT 系统中可能缺失，这对儿科住院护理有负面影响。至关重要的是，住院(和门诊)HIT 系统需要进行调整，以提高其为儿童安全医疗服务提供支持的能力。
