由于患者访问电子健康记录而导致的文档变化:范围审查协议
Eva Meier-Diedrich1,2, Gail Davidge3, Maria Hägglund4
1Brandenburg Medical School, Immanuel Hospital Rüdersdorf, University Clinic for Psychiatry and Psychotherapy, Rüdersdorf, Germany.
JMIR research protocols
|August 28, 2023
概括
本范围审查审查审查了患者可访问的电子健康记录 (PAEHR) 如何影响医疗保健专业人员 (HCP) 的文档. 它调查了PAEHR实施后临床注释的变化,以告知临床实践和研究.
科学领域:
- 医疗信息学 医疗信息学
- 临床文档 临床文档
- 患者参与 患者参与
背景情况:
- 全球越来越多地采用患者可访问的电子健康记录 (PAEHR).
- 医疗保健专业人员 (HCP) 对PAEHR可能导致的临床记录"化"存在担忧.
- 缺乏经验证据证明PAEHR实施后的文档变化.
研究的目的:
- 在PAEHR引入后对医疗保健专家文档的主观和客观变化进行范围审查.
- 探索PAEHR如何影响医疗保健专家的文档实践和临床笔记内容.
主要方法:
- 根据阿克西和奥马利框架进行范围审查.
- 在APA PsycInfo,CINAHL,PubMed和Web of Science核心集合中进行文献搜索.
- 包括关于PAEHR实际使用经验的研究;使用混合方法评估工具进行质量评估.
主要成果:
- 审查将以叙事形式综合有关文档变化的证据.
- 数据将以主题和图表/表形式呈现.
- 预计将在科学会议上和通过同行评审的出版物展示结果.
结论:
- 这是首次进行范围审查,以调查PAEHR实施后的文档变化.
- 发现可能会验证或挑战利益相关者的期望,为临床医生提供实际指导.
- 该审查旨在确定研究缺陷,并为改善患者沟通和安全提供未来的共享文档指南.
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