探索电子医疗记录在相关卫生专业人员中使用的成熟度
Maria Schwarz1, Elizabeth C Ward2,3, Anne Coccetti1
1Metro South Hospital and Health Service, Australia.
概括
盟友卫生专业人员 (AHPs) 显示电子病历 (EMRs) 的成熟使用率较低,并发现了重大障碍. 需要多个层面的策略来优化AHP的EMR利用.
科学领域:
- 医疗信息学 医疗信息学
- 盟友卫生专业 医疗保健专业
- 电子医疗记录电子医疗记录
背景情况:
- 电子医疗记录 (EMR) 提供了改善患者护理质量和安全的潜力.
- 成熟地使用先进的EMR功能对于实现全部好处至关重要.
- 相关卫生专业人员 (AHP) 目前对EMR使用成熟度的理解是有限的.
研究的目的:
- 评估AHPs目前使用EMR的成熟度.
- 在AHP中识别阻碍成熟EMR利用和优化的障碍.
主要方法:
- 193个AHP完成了基于EMR采用框架的27个问题电子调查.
- 在10个特征类别中测量了EMR利用率 (0=纸张图表,5=理论最大值).
- 与21名临床医生和管理人员的采访探讨了当前的EMR使用以及成熟使用的障碍/促进因素.
主要成果:
- 大多数调查回答 (74%) 表示使用EMR成熟度低 (平均得分<3).
- 在健康信息,转介和管理方面观察到成熟使用的口袋.
- 关键障碍包括对EMR机会的有限理解,过程复杂性以及最终用户/环境因素.
结论:
- 在AHP中成熟的EMR使用目前在大多数EMR功能中很低.
- 尽管整体成熟度较低,但特定领域显示出一些高度利用的口袋.
- 优化AHP EMR使用需要针对临床医生,支持和服务水平的有针对性的策略.
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