大学病院における処方（外来）オーダエントリシステムの現状およびシステム利用医師側からの評価

Abstract

Prescription order entry systems began to be introduced into university hospitals a decade ago. Compared to the handwritten prescription system, the computerized system offers a lot of advantages and possibilities. Some issues are arguable. We conducted research similar to this report two years ago. Since then, however, several institutions have introduced a prescription order entry system and/or added new functions to their systems.Therefore, we again carried out our survey concerning prescription order entry system used in university hospitals and analyzed the present status of the systems and its evaluation by physicians. We compared the results with those obtained from our previous survey. In most institutions where a prescription order entry system is being used, more than 80% of doctors answered that the “Do prescription function” and the “I nput check on entry” were useful. Evaluation of the other functions by doctors showed a tendency to be low, though institutions which provided these functions were too few to drow make a significant conclusion. It was proved that introduction of a prescription order entry system contributed to making prescription order entry more efficient because it was able to save labor necessary to writing prescriptions and to having to write it again on a chart, avoid the duplication of prescriptions among different departments, and diminish clarification calls from the pharmacy.We found that doctors using prescription order entry systems give them high ratings but were dissatisfied with their processing speed. It was suggested that comparison and examination be made of models of machines and versions of systems used by the respective institutions.