医生和护士对计算机化医嘱录入系统对其工作流程影响的看法。
Physicians' and Nurses' Opinions about the Impact of a Computerized Provider Order Entry System on Their Workflow.
作者信息
Ayatollahi Haleh, Roozbehi Masoud, Haghani Hamid
机构信息
Haleh Ayatollahi, MSc, PhD, is an assistant professor of medical informatics at the Iran University of Medical Sciences in Tehran, Iran.
Masoud Roozbehi, MSc, is a medical records specialist at the Yasuj University of Medical Sciences in Yasuj, Iran.
出版信息
Perspect Health Inf Manag. 2015 Nov 1;12(Fall):1g. eCollection 2015.
INTRODUCTION
In clinical practices, the use of information technology, especially computerized provider order entry (CPOE) systems, has been found to be an effective strategy to improve patient care. This study aimed to compare physicians' and nurses' views about the impact of CPOE on their workflow.
METHODS
This case study was conducted in 2012. The potential participants included all physicians (n = 28) and nurses (n = 145) who worked in a teaching hospital. Data were collected using a five-point Likert-scale questionnaire and were analyzed using SPSS version 18.0.
RESULTS
The results showed a significant difference between physicians' and nurses' views about the impact of the system on interorganizational workflow (p = .001) and working relationships between physicians and nurses (p = .017).
CONCLUSION
Interorganizational workflow and working relationships between care providers are important issues that require more attention. Before a CPOE system is designed, it is necessary to identify workflow patterns and hidden structures to avoid compromising quality of care and patient safety.
引言
在临床实践中，信息技术的应用，尤其是计算机化医嘱录入（CPOE）系统，已被证明是改善患者护理的有效策略。本研究旨在比较医生和护士对CPOE对其工作流程影响的看法。
方法
本案例研究于2012年进行。潜在参与者包括在一家教学医院工作的所有医生（n = 28）和护士（n = 145）。使用五点李克特量表问卷收集数据，并使用SPSS 18.0版进行分析。
结果
结果显示，医生和护士对该系统对组织间工作流程的影响（p = .001）以及医生与护士之间的工作关系（p = .017）的看法存在显著差异。
结论
护理提供者之间的组织间工作流程和工作关系是需要更多关注的重要问题。在设计CPOE系统之前，有必要识别工作流程模式和隐藏结构，以避免损害护理质量和患者安全。
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