Weir C, Lincoln M, Roscoe D, Moreshead G
Salt Lake City Veteran's Affair Information Systems Center, Utah, USA.
Proc Annu Symp Comput Appl Med Care. 1995:790-4.
Direct physician order entry is required for effective implementation of an integrated electronic medical record. This effort involves multi-level changes in the whole system of care, from physicians attitudes to interdepartmental relations. This study reports the findings of a follow-up study that quantified dimensions associated with successful implementation identified in a previous study. Results identified several implementation strategies associated with success. These include an interdisciplinary implementation group, involvement of large numbers of regular staff, early and intensive training and support, and 24 hour available assistance as important to success. In addition, attitudes of physicians and their level of involvement were found to be associated with success.
有效的综合电子病历实施需要医生直接进行医嘱录入。这项工作涉及整个医疗系统的多层次变革，从医生态度到部门间关系。本研究报告了一项后续研究的结果，该研究对先前研究中确定的与成功实施相关的维度进行了量化。结果确定了几种与成功相关的实施策略。这些包括一个跨学科实施小组、大量普通工作人员的参与、早期和强化培训及支持，以及24小时随时可用的协助对成功至关重要。此外，发现医生的态度及其参与程度与成功相关。
