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Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality.

机译:计算机医师的早期采用者在照顾儿童的医院订购医疗器械:医学研究所报告质量后不久的美国医疗保健图片。

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OBJECTIVE: To determine national estimates of computerized physician order entry (CPOE) use for 2003 in hospitals that care for children. DESIGN: Retrospective cohort analysis. RESULTS: Six percent of the hospitals used CPOE (119 out of 2145). Children's hospitals are more likely to use CPOE than a children's unit (odds ratio [OR] = 6; 95% confidence interval [CI] = 1.5-23.9). Private for-profit hospitals are more likely to use CPOE than public hospitals (OR = 26.5; 95% CI = 3.1-224.8). Urban teaching hospitals are more likely to use CPOE than rural hospitals (OR = 3.9; 95% CI = 1.7-8.8). Hospitals in the Northeast, Midwest, and South are more likely to use CPOE than hospitals in the West (OR = 11.2, 95% CI = 4.8-26.5; OR = 4.2, 95% CI = 1.7-10.5; OR = 3.1, 95% CI = 1.5-6.3, respectively). CONCLUSIONS: In 2003, 6% of the hospitals that care for children reported using CPOE. Early adoption of CPOE was associated with children's hospitals, private hospitals, urban-teaching hospitals, and hospitals outside of the western region.
机译:目的:确定2003年在照顾儿童的医院中计算机医生订单输入(CPOE)使用的国家估计。设计:回顾性队列分析。结果:6%的医院使用了CPOE(2145个医院中的119个)。儿童医院比儿童医院更可能使用CPOE(赔率[OR] = 6; 95%置信区间[CI] = 1.5-23.9)。私立营利性医院比公立医院更可能使用CPOE(OR = 26.5; 95%CI = 3.1-224.8)。与乡村医院相比,城市教学医院更可能使用CPOE(OR = 3.9; 95%CI = 1.7-8.8)。东北,中西部和南部的医院比西部的医院更可能使用CPOE(OR = 11.2,95%CI = 4.8-26.5; OR = 4.2,95%CI = 1.7-10.5; OR = 3.1,95 %CI分别为1.5-6.3)。结论:2003年,有6%的儿童护理医院报告使用CPOE。 CPOE的早期采用与儿童医院,私立医院,城市教学医院以及西部地区以外的医院有关。

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