计算机化医生订单输入对药物记录工作流,时间和质量的影响的多中心评估
Viktoria Jungreithmayr1, Alina Fischer2, Jan Leininger1,3
1Heidelberg University, Medical Faculty Heidelberg/Heidelberg University Hospital, Internal Medicine IX - Department of Clinical Pharmacology and Pharmacoepidemiology, Cooperation Unit Clinical Pharmacy, Heidelberg, Germany.
Methods of information in medicine
|December 27, 2025
概括
计算机化医生订单输入 (CPOE) 系统的多中心评估显示了各种各样的工作流影响. 虽然CPOE提高了药物文档质量,但它增加了研究地点的时间要求.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床药房 临床药房
背景情况:
- 多中心评估对于可概括的药物安全干预结果至关重要.
- 现有的计算机化医生订单输入 (CPOE) 系统的评估通常是单一的,缺乏可比性.
- 需要标准化的方法来比较CPOE在各种医疗保健环境中的实际影响.
研究的目的:
- 为了比较CPOE实施对三个独立研究地点药物文档工作流程,时间和质量的影响.
- 评估基于模拟的实验室研究是否适用于多中心CPOE评估.
- 在不同的医院环境中确定影响CPOE有效性的因素.
主要方法:
- 一个多中心的,基于模拟的实验室研究在三个独立的地点进行,使用不同的CPOE系统.
- 分析了使用CPOE和不使用CPOE的药物文档流程.
- 使用病例情景测量了时间要求和药物文档质量.
主要成果:
- 实施CPOE简化了两家医院的工作流程,减少了涉及的系统和专业人员,并消除了双重文档.
- 一家医院经历了CPOE实施后药物订单的持续多重文档.
- 使用CPOE,药物记录时间增加了20.8% (中位数为16:51分钟,而没有13:56分钟,p=0.047),但质量显著改善,所有站点的中位数为100%.
结论:
- 基于模拟的实验室研究有效地比较多个地点的CPOE效应.
- CPOE的实施可以提高药物文档质量,但可能会增加时间要求,并揭示特定网站的工作流程的挑战.
- 需要进一步的研究来优化CPOE集成,并减轻潜在的工作流失效.
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