The transition to automated practitioner order entry in a teaching hospital: the VA Puget Sound experience.

摘要: We recently installed an automated practitioner order entry system on our busiest inpatient wards and critical care units. The installation followed 20 months preparation in which we created the workstation, network, host infrastructure, developed requisite policies, recruited personnel to support system, software areas where pace of was less intense. Since implementing entry, have experienced problems such as increase time required for practitioners enter orders, workflow changes units, difficulties with patient transfers, others. Our user has been heavily used during transition period. Software tailoring enhancements designed address these are planned, is remaining clinical units medical centers.