基于计算机的病人记录的用户界面

Tom Brinck, G. York
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引用次数: 0

摘要

基于计算机的患者记录(cpr)的主要目的是跟踪有关患者的临床数据,并与与患者交互的各种医疗保健专业人员共享此信息。传统上,这些信息一直保存在纸质记录中,而基于纸质的患者记录在本世纪发展成为一种非常成功的格式,其关键信息和过程编码在纸质记录的结构中。然而,基于纸张的记录有一些严重的限制,例如:体积大,获取记录的时间延迟,以及需要冗余地输入许多类型的信息。正如一位研讨会参与者所指出的那样,“用这么一大堆文件来支持临床决策很难”。
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User interfaces for computer-based patient records
The primary purpose of computerbased patient records (CPRs) is to keep track of clinical data about patients and share this information with the wide variety of healthcare professionals who interact with patients. Traditionally, this information has been kept in a paper record, and paper-based patient records have evolved throughout this century to a highly successful format with critical information and processes encoded in the structure of the paper records. However, paper-based records have had some severe limitations, for instance: bulkiness, time delay in obtaining records, and the necessity of redundantly entering many types of information. As one workshop participant noted, "it's hard to support clinical decision-making with this big pile of paper".
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