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首页> 外文期刊>BMC Medical Informatics and Decision Making >Does Computerized Physician Order Entry Benefit from Dynamic Structured Data Entry? A Quasi-Experimental Study
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Does Computerized Physician Order Entry Benefit from Dynamic Structured Data Entry? A Quasi-Experimental Study

机译：动态结构化数据录入是否能使计算机医师下单录入受益？准实验研究

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With advancements in information technology, computerized physician order entry (CPOE) and electronic Medical Records (eMR), have become widely utilized in medical settings. The predominant mode of CPOE in Taiwan is free text entry (FTE). Dynamic structured data entry (DSDE) was introduced more recently, and has increasingly drawn attention from hospitals across Taiwan. This study assesses how DSDE compares to FTE for CPOE. A quasi-experimental study was employed to investigate the time-savings, productivity, and efficiency effects of DSDE in an outpatient setting in the gynecological department of a major hospital in Taiwan. Trained female actor patients were employed in trials of both entry methods. Data were submitted to Shapiro-Wilk and Shapiro-Francia tests to assess normality, and then to paired t-tests to assess differences between DSDE and FTE. Relative to FTE, the use of DSDE resulted in an average of 97% time saved and 55% more abundant and detailed content in medical records. In addition, for each clause entry in a medical record, the time saved is 133% for DSDE compared to FTE. The results suggest that DSDE is a much more efficient and productive entry method for clinicians in hospital outpatient settings. Upgrading eMR systems to the DSDE format would benefit both patients and clinicians.
机译：随着信息技术的发展，计算机化的医生订单输入（CPOE）和电子病历（eMR）已在医疗环境中得到广泛利用。台湾地区CPOE的主要模式是自由文本输入（FTE）。动态结构化数据输入（DSDE）是最近才引入的，并且越来越引起台湾各地医院的关注。这项研究评估了DSDE与CPTE的FTE相比。在台湾一家主要医院妇科的门诊患者中，进行了一项准实验研究，研究了DSDE的节省时间，生产率和效率。两种进入方法的试验均雇用了受过训练的女演员患者。将数据提交给Shapiro-Wilk和Shapiro-Francia检验以评估正态性，然后进行配对t检验以评估DSDE和FTE之间的差异。相对于FTE，使用DSDE可以平均节省97％的时间，并节省55％的病历内容。此外，对于病历中的每个子句条目，与FTE相比，DSDE节省的时间为133％。结果表明，对于在医院门诊环境中的临床医生而言，DSDE是一种更为有效和高效的输入方法。将eMR系统升级为DSDE格式将使患者和临床医生受益。

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