住院患者的EHR用户体验和医院的EHR安全性能
David C Classen1,2, Christopher A Longhurst3,4, Taylor Davis5
1Division of Epidemiology, University of Utah School of Medicine, Salt Lake City.
JAMA network open
|September 11, 2023
概括
提高电子健康记录 (EHR) 的可用性与更好的电子健康记录安全性能有关. 提高用户体验可以通过解决持久的EHR问题,直接有利于患者安全.
科学领域:
- 医疗信息学 医疗信息学
- 医疗信息系统 医疗信息系统
- 患者安全 患者安全
背景情况:
- 电子健康记录 (EHR) 系统已被广泛采用,但仍然存在重大可用性和安全性挑战.
- 电子病历功能持续存在的问题会影响用户体验和患者护理.
- 优化EHR系统仍然是医疗保健机构的关键目标.
研究的目的:
- 调查EHR前线用户体验与EHR安全性能之间的关联.
- 为了确定是否改善了电子健康记录的可用性与国家医院样本中增强的安全指标相关.
主要方法:
- 一项横截面研究分析了来自美国112家成人医院的数据,使用Leapfrog健康IT安全措施和ARCH协作EHR用户体验调查 (2017-2019).
- 为了评估关联,使用了普通最小平方回归模型,调查答案按医院分类,用于评估关联.
- 主要结局包括医院在Leapfrog安全测量和ARCH用户体验得分上的表现,包括总体和子组件.
主要成果:
- 在前线用户评估的EHR可用性和EHR安全性表现之间发现了积极的关联 (调整后的β系数=0.011;95%CI,0.006-0.016).
- 整体ARCH用户体验得分与Leapfrog健康IT安全措施的所有10个子类别得分有显著的相关性.
- 相反,Leapfrog的整体安全评分与ARCH用户体验的所有8个子类别评分有关.
结论:
- 这项研究表明,EHR可用性和安全性之间存在显著的积极关系.
- 提高电子健康记录的可用性是提高患者安全的关键策略.
- 在EHR系统中解决用户体验的痛点可以带来医疗保健安全结果的有形改善.
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