Using information technology to improve the quality and safety of emergency care.
Using information technology to improve the quality and safety of emergency care.
复制标题
利用信息技术提高急救质量和安全性。
DOI：
10.1111/j.1553-2712.2011.01070.x
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Pines,JesseM
中科院分区：
文献类型：
--
作者：
Handel,DanielA;Wears,RobertL;Nathanson,LarryA;Pines,JesseM
学术急救医学2011; 18：e45-e51 © 2011由学术急救医学协会摘要随着2010年联邦医疗保健改革的通过，电子健康记录（EHR）整合到美国医疗保健系统中的新焦点已经出现。2009年10月召开了一次共识会议，讨论了未来的研究议程，利用信息技术（IT），以提高未来的质量和安全的急诊科（艾德）护理。关于使用计算机化供应商订单输入（CPOE）、临床决策支持（CDS）、EHR和患者跟踪系统如何改善或降低艾德护理的安全性和质量，文献褒贬不一。这种混合的结果必须考虑在国家推动快速实施卫生IT。我们提出了一个研究议程，解决了IT引入艾德护理所带来的主要问题;这些问题涉及到互操作性，病人流量和整合到临床工作，真实的时间决策支持，网络，安全关键计算，以及IT系统和临床工作流程之间的相互作用。
ACADEMIC EMERGENCY MEDICINE 2011; 18:e45–e51 © 2011 by the Society for Academic Emergency MedicineAbstractWith the 2010 federal health care reform passage, a renewed focus has emerged for the integration of electronic health records (EHRs) into the U.S. health care system. A consensus conference in October 2009 met to discuss the future research agenda with regard to using information technology (IT) to improve the future quality and safety of emergency department (ED) care. The literature is mixed as to how the use of computerized provider order entry (CPOE), clinical decision support (CDS), EHRs, and patient tracking systems has improved or degraded the safety and quality of ED care. Such mixed findings must be considered in the national push for rapid implementation of health IT. We present a research agenda addressing the major questions that are posed by the introduction of IT into ED care; these questions relate to interoperability, patient flow and integration into clinical work, real‐time decision support, handoffs, safety‐critical computing, and the interaction between IT systems and clinical workflows.