Ctrl-C:对美国瘤临床医生电子健康记录使用模式的横截面研究
Sumi Sinha1, A Jay Holmgren2,3, Julian C Hong1,3
1Department of Radiation Oncology, University of California, San Francisco, San Francisco, CA, USA.
JNCI cancer spectrum
|September 9, 2023
概括
瘤学家使用电子健康记录 (EHR) 与其他专家不同,更多地依赖复制粘贴功能并接收更多消息. 这凸显了在瘤护理中优化EHR的需求.
科学领域:
- 医疗信息学 医疗信息学
- 在瘤学瘤学.
- 医疗文件 医疗文件
背景情况:
- 电子健康记录 (EHR) 提供了好处,但与临床医生疲劳有关.
- 了解跨医学专业的特定EHR使用模式对于系统改进至关重要.
研究的目的:
- 为了比较瘤学和非瘤学医疗专家之间的电子健康记录 (EHR) 使用模式.
- 确定在瘤护理中改善电子病历系统的潜在领域.
主要方法:
- 通过使用Epic供应商数据 (2019年1月至8月) 来分析349个门诊医疗保健系统的EHR使用数据.
- 在瘤学家和非瘤学专家之间比较笔记组成 (例如,复制和粘贴,SmartPhrase使用),信息量和在电子健康记录中花费的时间.
主要成果:
- 瘤学家使用复制和粘贴功能更频繁,但使用智能短语比非瘤学专家少.
- 瘤学家每天收到更多的电子病历信息,其中结果和系统生成的信息占比较大.
- 在瘤学和非瘤学临床医生之间观察到EHR参与度指标的显著差异.
结论:
- 电子病历系统需要优化,以更好地支持瘤学临床医生的复杂文档和工作流需求.
- 解决特定的电子健康记录使用模式,如高信息量和依赖复制粘贴,对于提高效率和减少瘤学中倦怠是必不可少的.
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