Research Paper: Implementation of Physician Order Entry: User Satisfaction and Self-Reported usage Patterns
Research Paper: Implementation of Physician Order Entry: User Satisfaction and Self-Reported usage Patterns
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研究论文：医生订单输入的实施：用户满意度和自我报告的使用模式
DOI：
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发表时间：
1996
期刊：
影响因子：
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通讯作者：
D. Bates
中科院分区：
文献类型：
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作者：
F. Lee;J. Teich;C. Spurr;D. Bates
目标
评估用户满意度、满意度相关性以及关于某家医院医嘱输入 (POE) 的自我报告使用模式。
设计
调查已发送给内科和外科服务机构的医生和护士 POE 用户。
结果
用户普遍对 POE 感到满意（平均值 = 5.07（1 到 7 等级））。医生比护士满意，医护人员比手术人员满意；即使在满意度较低的群体中，满意度水平也是可以接受的（超过 3.50）。满意度与 POE 对生产力、易用性和速度的影响的看法高度相关。旨在提高护理质量的 POE 特征与满意度的相关性不太强。医生最看重 POE 的离地可达性，护士最看重 POE 医嘱的易读性和准确性。一些功能，例如离场订购，被认为非常有用，并且据报道被医生经常使用；而其他功能，例如“快速模式”订购和个人订单集，则很少收到自我报告的使用情况。
结论
POE用户调查显示，POE满意度良好。与 POE 对护理质量的影响相比，满意度与 POE 对生产力影响的看法更相关。医生和护士构成两种截然不同的用户类型，这强调了让医生和非医生参与 POE 开发的重要性。结果表明，开发工作应侧重于提高系统速度、添加在线帮助以及强调 POE 的质量优势。
OBJECTIVES
To evaluate user satisfaction, correlates of satisfaction, and self-reported usage patterns regarding physician order entry (POE) in one hospital.
DESIGN
Surveys were sent to physician and nurse POE users from medical and surgical services.
RESULTS
The users were generally satisfied with POE (mean = 5.07 on a 1 to 7 scale). The physicians were more satisfied than the nurses, and the medical staff were more satisfied than the surgical staff; satisfaction levels were acceptable (more than 3.50) even in the less satisfied groups. Satisfaction was highly correlated with perceptions about POE's effects on productivity, ease of use, and speed. POE features directed at improving the quality of care were less strongly correlated with satisfaction. The physicians valued POE's off-floor accessibility most, and the nurses valued legibility and accuracy of POE orders most. Some features, such as off-floor ordering, were perceived to be highly useful and reported to be frequently used by the physicians; while other features, such as "quick mode'' ordering and personal order sets, received little self-reported use.
CONCLUSIONS
Survey of POE users showed that satisfaction with POE was good. Satisfaction was more correlated with perceptions about POE's effect on productivity than with POE's effect on quality of care. Physicians and nurses constitute two very different types of users, underscoring the importance of involving both physicians and nonphysicians in POE development. The results suggest that development efforts should focus on improving system speed, adding on-line help, and emphasizing quality benefits of POE.
医学专家系统——医生的知识工具。
DOI：
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发表时间：
1986
期刊：
The Western journal of medicine
影响因子：
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作者：
Shortliffe,EH
通讯作者：
Shortliffe,EH
基于计算机的医嘱输入：最先进的技术。
DOI：
10.1136/jamia.1994.95236142
发表时间：
1994
期刊：
Journal of the American Medical Informatics Association : JAMIA
影响因子：
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作者：
Sittig,DF;Stead,WW
通讯作者：
Stead,WW