Gonca MUMCU, Leyla KÖKSAL, Nur ŞİŞMAN, Ramazan Özgür ÇATAR

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Özel hastane acil bakım kliniklerinde elektronik hekim orderlarının etkinliği ve çıktıları

Amaç: Bu çalışmanın amacı acil bakım kliniklerinde elektronik hekim order girişinin etkinliği ve çıktılarını değerlendirmektir.Yöntem: Bu araştırmaya İstanbul’da hizmet veren 24 özel hastanenin acil bakım kliniklerinde çalışan 24 hekim ve 24 hemşire katıldı. Veriler elektronik hekim order girişinin etkinliği ve çıktılarına odaklanmış soruları içeren bir anket formu ile toplandı. Formda yer alan maddeler beşli likert ölçeği ile değerlendirildi.Bulgular: Hekim ve hemşirelerin, Etkinlik boyutuna ilişkin, “ilaç listesine ulaşım”, “ilaç dozları ve reçeteler”, “ilaç etkileşim uyarıları”, ”daha hızlı reçeteleme”, “reçeteleme hatalarının azaltılması”, “diğer sağlık çalışanları ile etkin iletişim kurulabilmesi”, “kolay çalışabilme”, “kolay yönetebilme”, ve “zamandan tasarruf sağlanması” maddelerinden aldıkları puanlar benzerdir (p>0.05). “Reçeteleme için daha iyi yaklaşımdır” ifadesine verilen puan hekimlerde hemşirelere göre daha yüksek olduğu belirlendi (p=0.038). Ayrıca, hekim ve hemşirelerin Çıktı boyutuna ilişkin, “hasta güvenliğini sağlama”, “verinin güvenilirliğini ve okunabilirliğinin artması” maddelerinden aldıkları puanların aynı olduğu görüldü (p>0.05). Sonuç: Elektronik hekim order giriş sistemi acil bakım kliniklerinde hekim ve hemşireler tarafından etkin bir şekilde kullanılmaktadır. Acil bakım kliniklerinde, bu sistemin kullanımı hasta güvenliği ve sağlık hizmeti kalitesini artırmıştır.
Anahtar Kelimeler:

Elektronik hekim order girişi, hekim, hemşireler, acil bakım kliniği

The effectiveness and outcomes of computerized provider order entry in emergency care deparment of private hospitals

Objective: The aim of the study was to compare the effectiveness and outcomes of computerized provider order entry (CPOE) between physicians and nurses in emergency care (EC) services.Methods: In this study, 24 physician and 24 nurses working as fulltime in EC services of private hospitals (n=24) were selected in Istanbul, Turkey. Data were collected by a multi-item questionnaire focused on effectiveness and outcomes of CPOE usage. Items were coded by 5-point Likert scale and compared among them.Results: No significant difference was found in score item effectiveness regarding “accessing list of medication”, “dosages and prescriptions” “alerting drug interaction”, “faster prescription” “reducing prescribing error”, “providing effective communication with staffs”, “easy working” and “easy managing”, “allowing decision making” and saving time” between physician and nurses (p>0.05). However, significant difference was seen in score of “being better approach for prescribing” between physician and nurses (p=0.038). Almost similar scores were seen in items of outcomes regarding “achieving patient safety” and “increasing reliability and legibility of data” (p>0.05).Conclusions: Consequently, CPOE system was used effectively by physicians and nurses in EC services. Better prescribing was found to be a key factor for physicians in the system. Effectiveness and outcomes of the system improve clinical tasks, patient safety and quality of care in EC services.
Keywords:

Computerized provider order entry, physician, nurses, emergency care service,

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Clinical and Experimental Health Sciences-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2011
  • Yayıncı: Marmara Üniversitesi
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Özel hastane acil bakım kliniklerinde elektronik hekim orderlarının etkinliği ve çıktıları

Gonca MUMCU, Leyla KÖKSAL, Nur ŞİŞMAN, Ramazan Özgür ÇATAR