为紧急部门设计和开发数字股权仪表板
Sojung Yi1, Caroline Burke1, Amanda Reilly1
1Zuckerberg San Francisco General Hospital Department of Emergency Medicine San Francisco California USA.
概括
为了解决急救部门 (ED) 的健康差异,开发了一个公平仪表板. 该工具使用每天更新的数据来跟踪患者护理趋势,并确定改善公平待遇的领域.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 种族和民族少数群体在急诊室 (ED) 诊断,治疗和结果方面经历了记录下来的差异.
- 有限的实时数据监测和可用性阻碍了ED内不公平的护理模式的识别和缓解.
研究的目的:
- 开发和评估在线"公平仪表板"的可用性,以监测和解决ED的护理差异.
- 提供每天更新的人口,临床和操作变量数据可视化,按患者特征分层.
主要方法:
- 使用每天更新的电子医疗记录数据开发交互式"公平仪表板".
- 纳入数据可视化,按年龄,种族,种族,语言,性取向和性别认同分层.
- 通过最终用户调查,系统可用性量表 (SUS) 和净促销商评分 (NPS) 进行可用性评估.
主要成果:
- 股权仪表板每天更新患者护理趋势的洞察力,包括临床医生事件延迟,住院患者登机和吞吐量等操作挑战.
- 该工具有效地突出了操作因素如何对不同患者群体产生不同影响.
- 可用性评估表明仪表板对于质量改进计划的价值.
结论:
- 股权仪表板是ED团队测量绩效,识别漏洞和设计有针对性的干预措施的宝贵数字工具.
- 该仪表板通过向所有工作人员提供患者护理趋势来促进临床护理差异的测量和减少.
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