Overdependence on Technology: An Unintended Adverse Consequence of Computerized Provider Order Entry
Overdependence on Technology: An Unintended Adverse Consequence of Computerized Provider Order Entry
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发表时间：
2007-10
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通讯作者：
Emily M. Campbell;Dean F. Sittig;Kenneth P. Guappone;R. H. Dykstra;J. Ash
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作者：
Emily M. Campbell;Dean F. Sittig;Kenneth P. Guappone;R. H. Dykstra;J. Ash
计算机化的供应商订单输入（CPOE）和其他临床信息系统可以帮助减少医疗错误，促进实践标准化，提高病人护理质量。然而，实施这些系统可能会导致意想不到的不良后果。我们的多学科团队使用定性方法收集和分析描述与CPOE采用和使用相关的非预期不良后果的数据。对技术的过度依赖是我们确定的九种主要类型之一。对这些数据的仔细分析揭示了三个主题：1）当备份系统不足时，系统停机可能会造成混乱，2）用户对数据准确性和处理有错误的期望，3）一些临床医生在没有计算机化系统的情况下无法有效工作。我们提供了缓解这些重要问题的建议。
Computerized provider order entry (CPOE) and other clinical information systems can help reduce medical errors, promote practice standardization, and improve the quality of patient care. However, implementing these systems can result in unintended adverse consequences. Our multidisciplinary team used qualitative methods to gather and analyze data describing unintended adverse consequences related to CPOE adoption and use. Overdependence on technology emerged as one of nine major types we identified. Careful analysis of these data revealed three themes: 1) system downtime can create chaos when there are insufficient backup systems in place, 2) users have false expectations regarding data accuracy and processing, and 3) some clinicians cannot work efficiently without computerized systems. We provide recommendations for mitigating these important issues.