在利雅得一家领先的第三级护理推中心,计算机化提供者订单入口文件的演变
Hanan Sabet Alanazi1, Yazed Alruthia2
1Prince Mohammed Bin Abdulaziz Hospital, Riyadh 14214, Saudi Arabia.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
随着时间的推移,计算机化供应商订单输入 (CPOE) 数据的完整性得到了显著改善,但仍存在差距. 强制性核心变量和涉及药剂师可以提高患者的安全.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床决策支持系统 临床决策支持系统
背景情况:
- 计算机化供应商订单输入 (CPOE) 系统对于药物安全至关重要.
- 在CPOE中数据的完整性对于临床决策支持系统 (CDSS) 的有效性至关重要.
- 不完整的数据,特别是临床和人体测量细节,可能会危及患者的安全.
研究的目的:
- 评估CPOE数据完整性的纵向变化,重点是"宽度完整性".
- 为了确定影响第三级护理环境中的数据完整性的因素.
- 评估系统成熟度和具体干预措施对数据完整性的影响.
主要方法:
- 追溯的横截面研究设计.
- 从Cerner Millennium CPOE系统提取的2015年,2017年和2019年的数据.
- 系统性随机抽样600例患者接触;用于分析的多变量逻辑回归.
主要成果:
- "宽度完整性"从2015年的5.5%显著增加到2019年的49.5%.
- 记录的年份和住院时间是完整性的重要预测指标.
- 药剂师主导的药物调整显示数据完整性增加了2.5倍 (双变量分析).
结论:
- 系统成熟度已经改善了CPOE文档,但仍然存在关键数据缺口.
- 人类测量数据仍然不完整,影响了安全警报功能.
- 强制性"硬停止"对于核心变量和正式的药剂师角色是建议提高患者安全的.
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