Computer-based physician order entry: the state of the art.
Computer-based physician order entry: the state of the art.
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基于计算机的医嘱输入：最先进的技术。
DOI：
10.1136/jamia.1994.95236142
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Stead,WW
中科院分区：
文献类型：
--
作者：
Sittig,DF;Stead,WW
20 多年来，基于计算机的直接医嘱输入一直是争论的话题。许多站点已成功实施系统。另一些则彻底失败或陷入灾难，导致严重延误、成本超支和工作行动受到威胁。医生医嘱输入的基本原理包括流程改进、支持成本意识决策、临床决策支持以及优化医生时间。医生医嘱输入的障碍源于实践模式、护理团队内的角色、教学模式和机构政策所需的变化。成功实施的关键要素包括：系统必须快速且易于使用，用户界面必须在所有情况下表现一致，机构在实施之前必须得到临床医生广泛而坚定的参与和指导，组织的最高领导层必须致力于项目，问题解决者和用户小组必须定期会面以解决程序问题。本文回顾了同行评审的科学文献，介绍了基于计算机的医嘱输入的当前技术水平。
Direct computer-based physician order entry has been the subject of debate for over 20 years. Many sites have implemented systems successfully. Others have failed outright or flirted with disaster, incurring substantial delays, cost overruns, and threatened work actions. The rationale for physician order entry includes process improvement, support of cost-conscious decision making, clinical decision support, and optimization of physicians' time. Barriers to physician order entry result from the changes required in practice patterns, roles within the care team, teaching patterns, and institutional policies. Key ingredients for successful implementation include: the system must be fast and easy to use, the user interface must behave consistently in all situations, the institution must have broad and committed involvement and direction by clinicians prior to implementation, the top leadership of the organization must be committed to the project, and a group of problem solvers and users must meet regularly to work out procedural issues. This article reviews the peer-reviewed scientific literature to present the current state of the art of computer-based physician order entry.