A Computerized In-Hospital Alert System for Thrombolysis in Acute Stroke
A Computerized In-Hospital Alert System for Thrombolysis in Acute Stroke
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DOI：
10.1161/strokeaha.110.583591
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发表时间：
2010-09-01
期刊：
影响因子：
8.3
通讯作者：
Oh, Mi Sun
中科院分区：
文献类型：
--
作者：
Heo, Ji Hoe;Kim, Young Dae;Oh, Mi Sun
背景和目的：有效的脑卒中编码系统需要有效的通知/沟通和有组织的团队方法，以加快快速溶栓治疗。我们开发了一个基于计算机化医嘱输入（CPOE）系统的中风代码程序，并调查了在不同的医院环境中，基于CPOE的程序的实施是否有助于减少从到达急诊科（ED）到评估步骤和开始溶栓治疗的时间。方法：在10家医院实施以cpoe为基础的项目。比较计划实施前和实施后1年期间，从到达急诊科到血液检查、计算机断层扫描和溶栓治疗的时间间隔。结果：实施基于cpoe的项目后，从ED到达评估步骤的时间间隔显着缩短。从ED到达到CT扫描、全血细胞计数和凝血酶原时间检测的时间分别缩短了7.7分钟、5.6分钟和26.8分钟(P
Background and Purpose-An effective stroke code system that can expedite rapid thrombolytic treatment requires effective notification/communication and an organized team approach. We developed a stroke code program based on the computerized physician order entry (CPOE) system and investigated whether implementation of this CPOE-based program is useful for reducing the time from arrival at emergency departments (ED) to evaluation steps and the initiation of thrombolytic treatment in various hospital settings.Methods-The CPOE-based program was implemented by 10 hospitals. Time intervals from arrival at the ED to blood tests, computed tomography scanning, and thrombolytic treatment during the 1-year period before and the 1-year period after the program implementation were compared.Results-Time intervals from ED arrival to evaluation steps were significantly reduced after implementation of the CPOE-based program. Times from ED arrival to CT scan, complete blood counts, and prothrombin time testing were reduced by 7.7 minutes, 5.6 minutes, and 26.8 minutes, respectively (P