Computerized Physician Order Entry System Unexpected Increased Mortality After Implementation of a Commercially Sold
Computerized Physician Order Entry System Unexpected Increased Mortality After Implementation of a Commercially Sold
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发表时间：
2012
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通讯作者：
Trung C. Nguyen;H. Bayır;R. Orr;Y. Han;J. Carcillo;S. Venkataraman
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作者：
Trung C. Nguyen;H. Bayır;R. Orr;Y. Han;J. Carcillo;S. Venkataraman
摘要。Objective.为了响应Leapfrog Group推动的医学研究所1999年具有里程碑意义的报告和安全倡议，我们的机构实施了一个商业销售的计算机物理医生医嘱输入（CPOE）系统，以努力减少医疗错误和死亡率。我们试图检验CPOE实施导致被送往专门护理的儿童死亡率降低的假设。方法.在18个月的时间里，收集了所有通过机构间转运到我们地区、学术、三级保健水平儿童医院的儿童的人口统计学、临床和死亡率数据。在此期间，一个商业销售的CPOE计划在一个普通的、内外科临床应用平台的框架内迅速在全院范围内实施了6天以上。随后对CPOE实施前和实施后的时间段（CPOE实施前13个月和实施后5个月）进行了回顾性分析。
ABSTRACT. Objective. In response to the landmark1999 report by the Institute of Medicine and safety initi-atives promoted by the Leapfrog Group, our institutionimplemented a commercially sold computerized physi-cian order entry (CPOE) system in an effort to reducemedical errors and mortality. We sought to test the hy-pothesis that CPOE implementation results in reducedmortality among children who are transported for spe-cialized care. Methods. Demographic, clinical, and mortality datawere collected of all children who were admitted viainterfacility transport to our regional, academic, tertiary-care level children’s hospital during an 18-month period.A commercially sold CPOE program that operated withinthe framework of a general, medical-surgical clinical ap-plication platform was rapidly implemented hospital-wide over 6 days during this period. Retrospective anal-yses of pre-CPOE and post-CPOE implementation timeperiods (13 months before and 5 months after CPOEimplementation) were subsequently performed.