O'Connell E M, Teich J M, Pedraza L A, Thomas D
Department of Information Systems, Brigham and Women's Hospital, Boston, MA, USA.
Proc AMIA Annu Fall Symp. 1996:699-703.
Our group has developed a computer system that supports all phases of the inpatient discharge process. The system fills in most of the physician's discharge order form and the nurse's discharge abstract, using information available from sign-out, order entry, scheduling, and other databases. It supplies information for referrals to outside institutions, and provides a variety of instruction materials for patients. Discharge forms can be completed in advance, so that the patient is not waiting for final paperwork. Physicians and nurses can work on their components independently, rather than in series. Response to the system has been very favorable.
我们的团队开发了一个支持住院患者出院流程所有阶段的计算机系统。该系统利用交班、医嘱录入、排班及其他数据库中的可用信息,填写大部分医生的出院医嘱单和护士的出院摘要。它为转诊至外部机构提供信息,并为患者提供各种指导材料。出院表格可以提前完成,这样患者就无需等待最终的文书工作。医生和护士可以独立处理各自负责的部分,而不必按顺序依次进行。对该系统的反馈非常良好。