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Comparison of time spent writing orders on paper with computerized physician order entry.

机译:计算机化医师秩序条目纸上花时间花费的比较。

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Computerized physician order entry (CPOE) has been shown to improve quality, and to reduce resource utilization, but most available data suggest that it takes longer to enter orders using CPOE. We had previously implemented a CPOE system, and elected to evaluate its impact on physician time in the new setting. To do this, we performed a prospective study using random reminder methodology. Key findings were that interns spent 9.0% of their time ordering with CPOE, compared to 2.1% before, although CPOE saved them an additional 2% of time, so that the net difference was 5% of their total time. However, this is counterbalanced by decreased time for other personnel such as nursing and pharmacy, and by the quality and efficiency changes. We conclude that while CPOE has many benefits, it represents a major process change, and organizations must factor this in when they implement it.
机译:计算机化的医师订单条目(CPOE)已被证明可以提高质量,并降低资源利用率,但最多可用的数据表明使用CPOE进入订单需要更长的时间。 We had previously implemented a CPOE system, and elected to evaluate its impact on physician time in the new setting.为此,我们使用随机提醒方法进行了一项潜在的研究。主要发现是实习生花费了9.0%的时间与CPOE订购,相比之下,虽然CPOE在2%的时间额外保存了它们,但净差异是其总时间的5%。然而,这是通过降低的时间为护理和药房等人员的平衡,以及质量和效率变化。我们得出结论,虽然CPOE有许多好处,但它代表了一个重大的过程变革,而组织必须在他们实施时考虑这一点。

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