Ball P A, Candy D C, Puntis J W, McNeish A S
Arch Dis Child. 1985 May;60(5):435-9. doi: 10.1136/adc.60.5.435.
A microcomputer program has been designed to provide comprehensive assistance to the clinician in prescribing parenteral nutrition in children of all ages. It is implemented on a fully portable, independent machine that can be taken to the bedside anywhere in the hospital. The user is guided through a standardised prescribing process based on a well tried protocol and taking into account the patient's age, clinical condition, concurrent parenteral infusions, laboratory findings, and enteral intake. A printout is produced for insertion into the patient's clinical record, giving all concerned in the care of the child a clear, legible record of when, how, and by whom the prescription was calculated. The user can review and amend the proposed prescription before printing, giving ultimate control to the prescriber, not the computer. The system saves time by performing accurately the necessary calculations, and provides financial savings by reducing wastage of parenteral nutrition during the re-introduction of enteral feeding.
已设计出一个微机程序，旨在为临床医生为各年龄段儿童开肠外营养处方提供全面帮助。该程序在一台完全便携、独立的机器上运行，可携带至医院内任何地方的病床边。用户会在一个经过充分验证的方案基础上，按照标准化的开处方流程得到引导，同时会考虑患者的年龄、临床状况、同时进行的肠外输液、实验室检查结果及肠内摄入量。会生成一份打印件，用于插入患者的临床记录，为参与儿童护理的所有人员提供一份清晰、可读的记录，说明处方的计算时间、方式以及由谁计算。用户在打印前可查看并修改拟议的处方，最终控制权在开处方者而非计算机手中。该系统通过准确执行必要的计算节省了时间，并通过减少肠内喂养重新引入期间肠外营养的浪费实现了资金节约。
