电子病历中药物决策支持系统实施的障碍与促进因素卡塔尔世界杯8强波胆分析基于结构方程建模和定性分析的混合方法方法%A Jung,Se Young %A Hwang,Hee %A Lee,Keehyuck %A Lee,Ho-Young %A Kim,Eunhye %A Kim,Miyoung %A Cho,In Young %+电子健康研究和业务办公室，首尔大学盆唐医院，Dolma-ro 172，盆唐区，城南，13605，大韩民国，82 317878992，chrisruga@naver.com %K临床决策支持系统%K电子健康记录%K用药安全%K计算机化提供者订单输入(CPOE) %D 2020 %7 22.7.2020 %9背景:由用药错误引起的药物不良事件(ADEs)是医院医源性损伤最常见的原因之一。通过适当使用药物，可以预防和改善不良事件。通过在电子健康记录(EHRs)中实施药物决策支持系统(MDSS)，努力减少用药错误和预防ade。然而，医生倾向于无视大多数MDSS警报。目的:为了提高MDSS的功能，我们必须了解用户认为在临床环境中成功实施MDSS必不可少的因素。本研究跟踪了综合电子病历系统中MDSS的实施过程，并分析了相关障碍和促进因素。方法:采用混合研究方法。数据来自结构化调查和15个深度访谈。 Structural equation modeling was conducted for quantitative analysis of factors related to user adoption of MDSS. Qualitative analysis based on semistructured interviews with physicians was conducted to collect various opinions on MDSS implementation. Results: Quantitative analysis revealed that physicians’ expectations regarding ease of use and performance improvement are crucial. Qualitative analysis identified four significant barriers to MDSS implementation: alert fatigue, lack of accuracy, poor user interface design, and lack of customizability. Conclusions: This study revealed barriers and facilitators to the implementation of MDSS. The findings can be applied to upgrade MDSS in the future. %M 32706717 %R 10.2196/18758 %U https://medinform.www.mybigtv.com/2020/7/e18758 %U https://doi.org/10.2196/18758 %U http://www.ncbi.nlm.nih.gov/pubmed/32706717