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  3. Doctors’ sloppy handwriting kills more than 7,000 people annually. It’s a shocking statistic, and, according to a July 2006 repo

Doctors’ sloppy handwriting kills more than 7,000 people annually. It’s a shocking statistic, and, according to a July 2006 repo

admin2015-03-25  60
问题     Doctors’ sloppy handwriting kills more than 7,000 people annually. It’s a shocking statistic, and, according to a July 2006 report from the National Academies of Science’s Institute of Medicine(IOM), preventable medication mistakes also injure more than 1.5 million Americans annually. Many such errors result from unclear abbreviations and dosage indications and illegible writing on some of the 3.2 billion prescriptions written in the U. S. every year.
    To address the problem—and give the push for electronic medical records a shove—a coalition of health care companies and technology firms will launch a program Tuesday to enable all doctors in the U. S. to write electronic prescriptions for free.
    Although some doctors have been prescribing electronically for years, many still use pen and paper. This is the first national effort to make a Web-based tool free for all doctors. Tullman says that even though 90% of the country’s approximately 550,000 doctors have access to the Internet, fewer than 10% of them have invested the time and money required to begin using electronic medical records or e-prescriptions.
    By providing doctors with free tools and support—and perhaps a little prodding from the big insurers who pay the bills—the NEPSI(The National e-prescribing Patient Safety Initiative)alliance hopes to encourage a quickening in adoption of electronic prescribing. Because the new program is web-based, no special software or hardware is required, and NEPSI says the new system takes 15 minutes to learn. Sprint plans to give away 1,000 web-enabled phones to be used to transmit e-prescriptions and to demonstrate the technology’s ease of use. To keep pharmacies plugged into the new system, Sure Scripts, which links pharmacies around the country much like the national ATM network connects banks, will handle the e-prescriptions traffic from doctors to the country’s 55,000 pharmacies.
    Automation should eliminate many of the errors that occur when pharmacists misunderstand or misrecord medication names or dosages conveyed messily on paper or hurriedly by phone. Given that there are more than 17,000 pharmaceutical brands and generics available, a spoken request for Celebrex, for instance, can be mistaken for Celexa, or a notation requesting 150 milligrams of a drug might be read as 1500. In electronic systems, drugs and dosages are selected from menus to prevent input errors, and pharmacists don’t need to re-enter information.
    Sure Scripts CEO Kevin Hutchinson says one key to reducing medication errors is to get the most prolific prescribers to transition to electronic processing. "Not a lot of people understand that 15% of physicians in the U. S. write 50% of the prescription volume," Hutchinson says. "And 30% of them write 80%. So it’s not about getting 100% of physicians to e-prescribe. It’s about getting those key 30% who prescribe the most. Then you’ve automated the process. "
    Wider adoption of e-prescribing could lead to further efficiency in medical record keeping, which many believe is vital to both improving health care delivery and lowering costs. "Electronic prescribing could be an on-ramp for physicians beginning to use a full-featured electronic medical records system," Hutchinson says. "That’s the holy grail. "
We can infer from the passage that
选项 A、nearly half of the prescriptions have handwriting errors.
B、NEPSI pays the bill for free e-prescription.
C、the most productive doctors should use e-prescription first.
D、the new system can only benefit the record keeping.
答案C
解析 推理判断题。根据第六段首句可知，要想减少处方错误，关键是让那些处方开得最多的医生最先使用电子处方，这样就会使开电子处方的过程自动化起来。因此正确答案为[C]。文章第一段涉及因潦草手写处方每年所导致的医疗事故数字，其中每年全美国医生要开大约32亿张处方笺，其中有150万人因处方中药物的错误处理而受到身体伤害，其比例大约是1000比4，而不是大约一半，故排除[A]；通过第四段可知，大的保险公司支付了开发这个项目的资金，故排除[B]；最后一段讲，电子处方不仅对医疗记录的保存有积极作用，同时对提高医疗保健的服务质量及降低成本也有着举足轻重的作用，[D]过于绝对，故排除。
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