对基于医生的住院医嘱录入试验的反应。
Response to a trial of physician-based inpatient order entry.
作者信息
Teich J M, Spurr C D, Flammini S J, Schmiz J, Beckley R F, Hurley J F, Aranow M, Glaser J P
机构信息
Department of Information Systems, Brigham and Women's Hospital, Boston, MA.
出版信息
Proc Annu Symp Comput Appl Med Care. 1993:316-20.
Abstract
Our group has developed a physician-operated inpatient order-entry system (BICS-OE). Mindful of the problems inherent in bringing a radical cultural change such as this to the hospital, we conducted two pilots of the system prior to its full implementation. Physicians and nurses both identified a number of benefits from the use of OE. Physicians reported a number of areas where OE use was difficult or could be improved; nurses reported fewer problems. Based on the pilot trials, we modified the interface and some data constructs. These changes have enhanced the usefulness of OE in patient care in our hospital, and can serve as a model to others developing order entry.
摘要
我们的团队开发了一个由医生操作的住院医嘱录入系统（BICS - OE）。考虑到将如此重大的文化变革引入医院所固有的问题，我们在全面实施该系统之前进行了两次试点。医生和护士都指出了使用该医嘱录入系统带来的一些好处。医生报告了一些使用医嘱录入系统存在困难或有待改进的方面；而护士报告的问题较少。基于试点试验，我们修改了界面和一些数据结构。这些改变提高了医嘱录入系统在我们医院患者护理中的实用性，并且可以为其他开发医嘱录入系统的机构提供一个范例。
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本文引用的文献
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Physician inpatient order writing on microcomputer workstations. Effects on resource utilization.医生在微型计算机工作站上书写住院医嘱。对资源利用的影响。
JAMA. 1993 Jan 20;269(3):379-83.
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The process and outcome of a collaborative effort to design and implement a clinician order processing system.设计和实施临床医生医嘱处理系统的协作努力的过程与成果。
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