Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: A comparison of handwritten and computer-assisted prescriptions in an intensive care unit. | Available online http content 2 2 73 Research A comparison of handwritten and computer-assisted prescriptions in an intensive care unit K Diane Evans Stuart W Benham and Christopher S Garrard Intensive Care Unit Nuffield Department of Anaesthetics and Intensive Care John Radcliffe Hospital Oxford OX3 9DU UK. Received 16 October 1 997 Revisions requested 26 January 1998 Revisions received 4 March 1998 Accepted 10 March 1998 Published 22 May 1998 1998 Current Science Ltd Print ISSN 1364-8535 Online ISSN 1466-609X Crit Care 1998 2 73 Abstract Background We conducted a prospective comparative study to evaluate the potential benefit of computer-assisted prescribing CAP . We compared the accuracy completeness and time use of CAP with that of conventional handwritten prescribing at the intensive care unit ICU of the John Radcliffe Hospital Oxford UK. Results Twenty-five clinicians and 2409 drug entries were evaluated for accuracy completeness legibility and time spent prescribing. One hundred and twenty-eight handwritten and 110 CAP charts were monitored. One hundred percent of CAP charts were complete compared to 47 of handwritten charts. Drug prescriptions were divided into three categories intravenous fluids intravenous infusions and intermittent drugs. Percentage of correct entries in each category were 64 and 90 for handwritten compared to 48 32 and 90 for CAP charts mean time taken to prescribe was 20 s for hand written prescribing and 55 s for CAP. Conclusions Computer-assisted prescriptions were more complete signed and dated than handwritten prescriptions. Errors in prescribing including failure to discontinue a drug were not reduced by CAP. Handwritten prescribing was quicker than CAP. Simple enhancements of the computer software could be introduced which might overcome these deficiencies. CAP was successfully integrated into clinical practice in the ICU. Keywords computerised prescribing critical care intensive care .
