将设计中的药物知识库产品的有效性与使用Leapfrog集团计算机化医生订单输入 (CPOE/EHR) 评估工具的现实医院实施进行比较
Zoe Co1,2, Howard R Strasberg3, Bruce R Hanway3
1Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI 48104, United States.
JAMIA open
|January 8, 2026
概括
药物知识库 (MKB) 产品的配置显著影响医院在评估工具上的表现,而不是电子健康记录 (EHR) 供应商. 适当的MKB设置对于优化CPOE/EHR系统有效性至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 临床药房 临床药房
- 卫生信息技术 信息技术
背景情况:
- 跳集团的计算机化医生订单输入 (CPOE) /电子健康记录 (EHR) 评估工具评估了医院系统的性能.
- 药物知识库 (MKB) 供应商,如Medi-Span,为电子健康记录系统提供关键数据.
- 有效地实施MKB产品对于优化CPOE/EHR功能至关重要.
研究的目的:
- 为了比较一个完全启用,工厂设置的药物知识库 (MKB) 产品与运营医院实施的性能.
- 使用Leapfrog集团的CPOE/EHR评估工具分析MKB产品的性能.
- 为了确定EHR供应商对医院MKB产品性能的影响.
主要方法:
- 使用Leapfrog CPOE/EHR评估工具来评估特定医院的MKB实施情况.
- 在2017年至2019年间,追溯评估了使用MKB供应商产品的358家医院.
- 采用多变量线性回归来建模EHR供应商对整体工具得分的影响.
主要成果:
- 完全启用的MKB产品在评估工具上获得了94%的高整体得分.
- 评估医院的平均整体得分在61.1%至68.8%之间.
- EHR供应商B医院的得分略低于EHR供应商A医院 (3.6%的差异,P=.01),但这仅解释了3.7%的得分变化.
结论:
- 医院层面的实施和配置选择对MKB产品有很大的影响性能.
- 选择EHR供应商对整体CPOE/EHR评估工具得分的影响最小.
- 在特定的EHR中优化MKB产品配置比EHR供应商本身对系统性能更为关键.
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