臨床医がデータを検索し,遅延を回避するのを助ける
Lancet (London, England)
|November 10, 1998
まとめ
臨床医は,医療記録の設計が不適切であるため,医療記録の情報を見つけるのに苦労します. 文書形式とデジタル形式の両方のレコードデザインの改善は,医療従事者がより迅速かつ効率的にデータにアクセスするのを助けることができます.
科学分野:
- 医療情報工学 医療情報工学
- クリニカル・ドキュメンテーション
- 人とコンピュータの相互作用です.
背景:
- 紙の医療記録は,データの検索と概要の生成に課題を提示しています.
- 医療記録のコンピュータ化が本質的にデータアクセス問題を解決することはありません.
研究 の 目的:
- 臨床医が医療記録を検索する方法を明らかにする.
- 医療記録のデータアクセシビリティを強化する設計の特徴を特定する.
- 医療記録の設計を改善し,より迅速なデータ取得を図るための勧告を提供すること.
主な方法:
- 医療記録内の臨床医の検索行動の分析.
- データ検索効率に影響を与える設計機能の評価.
- 記録設計におけるベストプラクティスを伝えるための発見の統合.
主要な成果:
- 臨床医の検索パターンを理解することは,効果的な記録デザインに不可欠です.
- 特定の設計要素は,データ検索に必要な時間と労力を大幅に削減することができます.
- 紙と電子医療記録 (EHR) システムは,改善された設計戦略から利益を得ることができます.
結論:
- 医療記録の設計を最適化することは,臨床ワークフローを改善するために不可欠です.
- ユーザー中心の設計原則を実装することで,医療提供者のデータアクセシビリティを向上させることができます.
- 将来の記録設計では,迅速な臨床意思決定を支援するために,効率的な情報検索を優先すべきである.
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