国家医疗服务体系二级医疗机构中临床医生对电子医嘱通信的采用情况:描述性说明。

IF 4.1 Q1 HEALTH CARE SCIENCES & SERVICES BMJ Health & Care Informatics Pub Date : 2024-05-10 DOI:10.1136/bmjhci-2023-100850
Jamie J Coleman, Jolene Atia, Felicity Evison, Lydia Wilson, Suzy Gallier, Richard Sames, Andrew Capewell, Richard Copley, Helen Gyves, Simon Ball, Tanya Pankhurst
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引用次数: 0

摘要

背景:由于信息技术的飞速发展,医疗保健领域的通信方式也在不断发生变化。计算机化医嘱输入(CPOE)系统就是其中的一种,它以电子预订请求取代了纸质、口头或电话医嘱。我们的目的是了解 CPOE 在一个大型国民健康服务医院系统中的使用率和用户接受度:这项回顾性单中心研究调查了通过处方、信息和通信系统(PICS)进行通信的纵向使用情况。2008 年 10 月至 2019 年 7 月期间,收集了通过 PICS 提出的每项请求(成像、专科审查、手术、实验室)的记录,并对结果进行了统计。针对三个申请实例,对通过系统完成的申请比例进行了估算。完成了用户调查:在实施的前 6 个月中,该系统共增加了 832 种新的申请类型(成像类型和专科转诊)。随后,平均每月新增 6.6 个申请类型。通过 PICS 共申请了 8 035 132 份医嘱。在三种申请类型(成像、内窥镜检查和全血细胞计数)中,通过 PICS 提出申请的比例有所上升。6 个月后的用户反馈显示,使用该电子系统改善了沟通:CPOE 很受欢迎,被迅速采用,并在各专科得到广泛应用。
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Adoption by clinicians of electronic order communications in NHS secondary care: a descriptive account.

Background: Due to the rapid advancement in information technology, changes to communication modalities are increasingly implemented in healthcare. One such modality is Computerised Provider Order Entry (CPOE) systems which replace paper, verbal or telephone orders with electronic booking of requests. We aimed to understand the uptake, and user acceptability, of CPOE in a large National Health Service hospital system.

Methods: This retrospective single-centre study investigates the longitudinal uptake of communications through the Prescribing, Information and Communication System (PICS). The development and configuration of PICS are led by the doctors, nurses and allied health professionals that use it and requests for CPOE driven by clinical need have been described.Records of every request (imaging, specialty review, procedure, laboratory) made through PICS were collected between October 2008 and July 2019 and resulting counts were presented. An estimate of the proportion of completed requests made through the system has been provided for three example requests. User surveys were completed.

Results: In the first 6 months of implementation, a total of 832 new request types (imaging types and specialty referrals) were added to the system. Subsequently, an average of 6.6 new request types were added monthly. In total, 8 035 132 orders were requested through PICS. In three example request types (imaging, endoscopy and full blood count), increases in the proportion of requests being made via PICS were seen. User feedback at 6 months reported improved communications using the electronic system.

Conclusion: CPOE was popular, rapidly adopted and diversified across specialties encompassing wide-ranging requests.

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来源期刊
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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