Temporal and other factors that influence the time doctors take to prescribe using an electronic prescribing system
Temporal and other factors that influence the time doctors take to prescribe using an electronic prescribing system
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DOI：
10.1136/amiajnl-2014-002822
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发表时间：
2015-01-01
影响因子：
6.4
通讯作者：
Ferner, Robin E.
中科院分区：
文献类型：
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作者：
Coleman, Jamie J.;Hodson, James;Ferner, Robin E.
一个具有嵌入式临床决策支持的计算机化医嘱输入（CPOE）系统可以减少医院的用药错误，但可能会增加生成医嘱的时间。（月份、星期、轮班时间）和其他因素（医生等级、系统的先前经验、警报特征，和移位类型）关于生成处方单所需的时间。设置一家大型大学教学医院使用本地开发的CPOE系统，具有广泛的审计数据库。设计我们回顾性分析了处方结果在CPOE系统中生成处方单的几何平均时间为11.75 s（95%CI 11.72 ~ 11.78）。处方时间受高水平显示的影响最大（24.59 s（24.43至24.76）; p
Background A computerized physician order entry (CPOE) system with embedded clinical decision support can reduce medication errors in hospitals, but might increase the time taken to generate orders.Aims We aimed to quantify the effects of temporal (month, day of week, hour of shift) and other factors (grade of doctor, prior experience with the system, alert characteristics, and shift type) on the time taken to generate a prescription order.Setting A large university teaching hospital using a locally developed CPOE system with an extensive audit database.Design We retrospectively analyzed prescription orders from the audit database between August 2011 and July 2012.Results The geometric mean time taken to generate a prescription order within the CPOE system was 11.75 s (95% CI 11.72 to 11.78). Time to prescribe was most affected by the display of high-level (24.59 s (24.43 to 24.76); p