Does Computerized Physician Order Entry Benefit from Dynamic Structured Data Entry? A Quasi-Experimental Study

Autor:	Yung Hsiang Ying, Koyin Chang, George Linn
Jazyk:	angličtina
Rok vydání:	2018
Předmět:	Adult Outpatient Clinics Hospital 020205 medical informatics Electronic medical record Hospital Departments Taiwan Health Informatics Quasi-experimental study 02 engineering and technology Dynamic structured data entry lcsh:Computer applications to medicine. Medical informatics Health informatics Medical Order Entry Systems 03 medical and health sciences 0302 clinical medicine Computerized physician order entry Quasi experimental study 0202 electrical engineering electronic engineering information engineering medicine Text messaging Outpatient setting Electronic Health Records Humans 030212 general & internal medicine business.industry Health Policy Medical record medicine.disease Computer Science Applications Gynecology lcsh:R858-859.7 Female Medical emergency business Research Article
Zdroj:	BMC Medical Informatics and Decision Making, Vol 18, Iss 1, Pp 1-9 (2018) BMC Medical Informatics and Decision Making
ISSN:	1472-6947
DOI:	10.1186/s12911-018-0709-4
Popis:	Background 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. Methods 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. Results 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. Conclusion 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.
Databáze:	OpenAIRE
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