Key attributes of a successful physician order entry system implementation in a multi-hospital environment
Key attributes of a successful physician order entry system implementation in a multi-hospital environment
复制标题
DOI：
10.1136/jamia.2002.0090016
复制
发表时间：
2002-01-01
影响因子：
6.4
通讯作者：
Mekhjian, HS
中科院分区：
文献类型：
--
作者：
Ahmad, A;Teater, P;Mekhjian, HS
计算机化医嘱输入的好处已得到广泛承认，尽管很少有机构成功地安装了这些系统。成功实施的障碍既有组织方面的，也有技术方面的。2000年春，经过4年的规划和定制、9个月的试点项目和2000年14个月的中断，俄亥俄州州立大学卫生系统在住院单位广泛实施了医嘱输入。专科和社区服务的实施工作预定在2002年完成。在已实施的单位，所有订单都通过系统处理，80%由医生输入，其余由护士或其他持牌护理提供者输入。该系统可在不同的临床环境中部署，重点关注作为主要用户的医生，并被临床医生接受。这是作者衡量其实施成功与否的三个标准。他们认为，专业特定订单集的可用性，医生领导的参与和大规模的系统实施是关键的战略因素，使医生用户接受医生订单输入系统，尽管工作流程发生了重大变化。
The benefits of computerized physician order entry have been widely recognized, although few institutions have successfully installed these systems. Obstacles to successful implementation are organizational as well as technical. In the spring of 2000, following a 4-year period of planning and customization, a 9-month pilot project, and a 14-month hiatus for year 2000, the Ohio State University Health System extensively implemented physician order entry across inpatient units. Implementation for specialty and community services is targeted for completion in 2002. On implemented units, all orders are processed through the system, with 80 percent being entered by physicians and the rest by nursing or other licensed care providers. The system is deployable across diverse clinical environments, focused on physicians as the primary users, and accepted by clinicians. These are the three criteria by which the authors measured the success of their implementation. They believe that the availability of specialty-specific order sets, the engagement of physician leadership, and a large-scale system implementation were key strategic factors that enabled physician-users to accept a physician order entry system despite significant changes in workflow.