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首页> 外文会议>Australian National Health Informatics Conference >Use of an electronic drug monitoring system for ambulatory patients with chronic disease: How does it impact on nurses' time spent documenting clinical care?
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Use of an electronic drug monitoring system for ambulatory patients with chronic disease: How does it impact on nurses' time spent documenting clinical care?

机译：使用电子药物监测系统对慢性疾病的动态患者：它对护士的时间如何运用临床护理？

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Medication monitoring of ambulatory rheumatology patients on Disease Modifying Anti-Rheumatic Drugs (DMARDS) is time consuming and complex, with possibilities for error. Electronic systems have the potential to improve the process. The aim of this study was to evaluate the impact of an electronic Drug Monitoring System (eDMS) on the time nurses' spent on clinical documentation associated with monitoring. The study was conducted with all nurses (n=4) in the Rheumatology Department of a large metropolitan Australian teaching hospital. The eDMS was designed as a module of the Hospital Clinical Information System (HCIS) to assist clinicians in monitoring rheumatology patients on DMARDS. Timing data were collected using a modified time and motion work measurement technique using software on a handheld computer. Data included the time nurses spent on documentation regarding medication monitoring before and after the implementation of the eDMS. Results showed that following implementation of the eDMS nurses spent significantly less time documenting medication monitoring information (13.6% to 7.2%, P<.0001). The cumbersome paper-based Drug Monitoring Patient List was replaced entirely by the eDMS. Consequently, there was a significant decrease in the time nurses spent using the HCIS (13.01% to 2.8%, p < .0001) for monitoring and the use of loose-leaf paper also decreased (7.6% to 5.0%, p = 0.002). The eDMS made the process of drug monitoring quicker and simpler for nurses and thus permitted them to increase their time spent in direct patient care.
机译：治疗抗风湿药物（DMARDS）对疾病的动态风湿病患者的药物监测是耗时和复杂的误差。电子系统有可能改善该过程。本研究的目的是评估电子药物监测系统（EDMS）对与监测相关的临床文档的时间护士的影响。该研究是在大都会澳大利亚教学医院的风湿病系中的所有护士（n = 4）进行。 EDMS被设计为医院临床信息系统（HCIS）的模块，以帮助临床医生在DMARD上监测风湿病患者。使用修改时间和运动工作测量技术在手持式计算机上使用软件收集定时数据。数据包括在实施EDMS之前和之后的有关药物监控的文档的时间护士。结果表明，在埃米尔斯护士的实施下花费较少的时间记录药物监测信息（13.6％至7.2％，P <.0001）。繁琐的纸质药物监测患者清单完全由EDM替换。因此，使用HCIS花费的时间后，在监测和使用叶片的使用也降低了（7.6％至5.0％，P = 0.002）的时间下降了（13.01％至2.8％，P <.0001） 。 EDMS使药物监测的过程更快，更简单地为护士进行，因此允许他们增加他们在直接患者护理中花费的时间。

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