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醫(yī)生電子化醫(yī)囑對臨床醫(yī)護(hù)協(xié)同流程的影響研究

Impact of CPOE Implementation on Physician-Nurse Workflow Cooperation

作者: 鄭西川  范理宏  胡彬  譚申生 
單位:上海交通大學(xué)附屬第六人民醫(yī)院(上海200233)
關(guān)鍵詞: 臨床工作流;電子醫(yī)囑;無紙化申請;臨床信息系統(tǒng) 
分類號:
出版年·卷·期(頁碼):2010·29·6(628-632)
摘要:

在設(shè)計(jì)支持臨床診療流程的電子醫(yī)囑系統(tǒng)過程中,人們首先需要深入了解醫(yī)療流程,同時(shí)還要把握醫(yī)生電子醫(yī)囑應(yīng)用后臨床工作流程的變化。為此,研究了電子醫(yī)囑應(yīng)用實(shí)施不同階段的臨床工作流程變化。分析表明,電子醫(yī)囑對臨床工作流程的影響有正面和負(fù)面兩個(gè)方面,而且軟件系統(tǒng)的可用性和臨床工作流程的改進(jìn)對軟件的應(yīng)用效果至關(guān)重要。盡管目前的電子醫(yī)囑軟件已經(jīng)支持工作流程的改變,但仍然需要改進(jìn)以克服工作流程模擬手工紙張流程所帶來的障礙。

In the progress of designing and deploying a successful computer physician order entry(CPOE) system,which supports the medical workflow,one thorough understanding to the workflow and its changes after the CPOE implementation is very crucial,so that we analyze the characteristics of workflow in different phases of CPOE system implementation in this paper.It was indicated that the CPOE system affects the workflow both positively and negatively,the usability of the CPOE system and the improvement of clinical workflow are also vital factors that influence the CPOE system implementing.Although the present software of CPOE system has already exploited its supportive features in workflow,it also needs to devise a number of workarounds to overcome its simultaneously introduced barriers in workflow.

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