北京生物医学工程

医生电子化医嘱对临床医护协同流程的影响研究

Impact of CPOE Implementation on Physician-Nurse Workflow Cooperation

作者：郑西川范理宏胡彬谭申生

单位：上海交通大学附属第六人民医院（上海200233）

分类号：

出版年·卷·期（页码）：2010·29·6（628-632）

摘要：

在设计支持临床诊疗流程的电子医嘱系统过程中，人们首先需要深入了解医疗流程，同时还要把握医生电子医嘱应用后临床工作流程的变化。为此，研究了电子医嘱应用实施不同阶段的临床工作流程变化。分析表明，电子医嘱对临床工作流程的影响有正面和负面两个方面，而且软件系统的可用性和临床工作流程的改进对软件的应用效果至关重要。尽管目前的电子医嘱软件已经支持工作流程的改变，但仍然需要改进以克服工作流程模拟手工纸张流程所带来的障碍。

In the progress of designing and deploying a successful computer physician order entry(CPOE) system，which supports the medical workflow，one thorough understanding to the workflow and its changes after the CPOE implementation is very crucial，so that we analyze the characteristics of workflow in different phases of CPOE system implementation in this paper.It was indicated that the CPOE system affects the workflow both positively and negatively，the usability of the CPOE system and the improvement of clinical workflow are also vital factors that influence the CPOE system implementing.Although the present software of CPOE system has already exploited its supportive features in workflow，it also needs to devise a number of workarounds to overcome its simultaneously introduced barriers in workflow.

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