Implementation Of Computerized Physician Order Entry In Seven Countries
Implementation Of Computerized Physician Order Entry In Seven Countries
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DOI：
10.1377/hlthaff.28.2.404
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发表时间：
2009-03-01
期刊：
影响因子：
9.7
通讯作者：
Koppel, Ross
中科院分区：
文献类型：
--
作者：
Aarts, Jos;Koppel, Ross
我们审查的程度和功能的计算机化医嘱输入（CPOE）系统在七个西方国家。我们比较了各国的实施水平;与其他卫生保健信息技术的联系;临床医生使用的数量和类型;实施的驱动因素;决策支持系统和电子病历的纳入;以及目标（例如，患者安全和效率）。CPOE的实施比预期的要慢，问题也更多（采用率为20%或更低），而且往往集成得很差，导致新的错误，并对用户界面和重复性任务产生挫折感。尽管如此，CPOE的优势仍然引人注目。[Health Affairs 28，no. 2（2009）：404-414; 10.1377/hlthaff.28.1.404]
We review the extent and functionality of computerized physician order entry (CPOE) systems in seven Western countries. We compare nations' implementation levels; linkages with other health care information technologies; amount and types of use by clinicians; drivers of implementation; inclusion of decision-support systems and electronic medical records; and goals (for example, patient safety and efficiency). Implementation of CPOE is slower and more problematic than anticipated (adoption rates are 20 percent or less) and often poorly integrated, inducing new errors and generating frustration with user interfaces and repetitive tasks. Nevertheless, the advantages of CPOE remain compelling. [Health Affairs 28, no. 2 ( 2009): 404-414; 10.1377/hlthaff.28.1.404]