一种实施直接护理提供者医嘱录入的新方法。
A new approach to the implementation of direct care-provider order entry.
作者信息
Geissbühler A, Miller R A
机构信息
Division of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
出版信息
Proc AMIA Annu Fall Symp. 1996:689-93.
Successful implementation of direct computer-based care-provider order entry traditionally relies on one of two different approaches development from scratch or installation of a commercial product. The former requires extensive resources; the latter, by its proprietary nature, limits extension of the system beyond capabilities supplied by the vendor. This paper describes an intermediate approach using the association of a locally-developed and controlled set of distributed microcomputer based applications and a commercial, mainframe-based order entry application used as an order transaction processing system. This combination provides both an intuitive user interface and a platform for implementing clinical decision-support tools.
传统上，基于计算机的护理人员医嘱录入系统的成功实施依赖于两种不同方法中的一种：从头开发或安装商业产品。前者需要大量资源；而后者由于其专有性质，限制了系统在供应商提供的功能之外进行扩展。本文描述了一种中间方法，该方法将一组本地开发和控制的分布式微机应用程序与一个基于大型机的商业医嘱录入应用程序（用作医嘱交易处理系统）相结合。这种组合既提供了直观的用户界面，又提供了一个用于实施临床决策支持工具的平台。
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