量化将透析机与电子病历连接起来的优势和可接受性
Stephen Geoffrey Holt1, Anitha Nundlall2, Mohamed Alameri3
1SEHA Kidney Care, Abu Dhabi Health Services (SEHA), Abdu Dhabi, United Arab Emirates; Khalifa University, Abu Dhabi, United Arab Emirates.
International journal of medical informatics
|September 9, 2023
概括
将透析机直接连接到电子病历 (EMR) 节省了护士每班约28分钟的时间. 这提高了效率和患者护理,允许更多的时间来处理与患者有关的问题.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗信息学 医疗信息学
- 护理工作流程优化工作流程优化
背景情况:
- 在慢性透析期间手动记录血液动力学数据是耗时的.
- 护理工作负载包括数据输入,患者交互和问题解决.
- 医疗器械与电子病历 (EMR) 的整合是医疗保健领域日益增长的趋势.
研究的目的:
- 量化通过自动化从透析机到EMR的血液动力学数据传输实现的时间节约.
- 评估直接机器与EMR连接对护理工作量和患者护理的影响.
- 评估员工和患者对新系统的满意度.
主要方法:
- 开发了一个定制的接口,通过HL7输入连接透析机 (Fresenius 5008) 与Cerner EMR系统.
- 进行了与独立观察员的时间和运动研究,以量化介绍界面实施前后的护理时间分配.
- 通过调查评估患者和护士的接受度,并衡量生命体征记录的充分性.
主要成果:
- 直接EMR接口显著减少了护士的电脑时间约9% (每班约28分钟,p <0.05).
- 对患者相关问题花费的时间也相应增加.
- 生命体征记录的充分性提高了60%左右,在工作人员反后观察到进一步的收益.
结论:
- 直接将透析机与EMR连接,简化了护理工作流程,提高了效率.
- 该系统提高了工作人员和患者的满意度,并加强了透析治理.
- 自动数据传输使护士们可以专注于直接的病人护理,优化他们的技能.
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