支持电子健康记录转换的实践:从四个美国医疗保健系统中吸取教训
Seppo T Rinne1,2, Julian Brunner3, David C Mohr4,5
1Center for Healthcare Organization and Implementation Research (CHOIR), VA Bedford Healthcare System, Bedford, MA, USA. Seppo.Rinne@va.gov.
Journal of general internal medicine
|October 5, 2023
概括
成功的电子健康记录 (EHR) 转换需要清晰的沟通,定制培训和持续的支持. 卫生系统可以通过在整个过渡过程中专注于用户需求和组织实践来改善EHR的实施.
科学领域:
- 医疗信息学 医疗信息学
- 组织变革管理 组织变革管理
- 医疗保健系统研究 医疗保健系统研究
背景情况:
- 电子健康记录 (EHR) 的转换是医疗保健中的频繁而复杂的组织转变.
- 有限的文献存在,指导卫生系统通过EHR到EHR变化.
- 从过去的EHR过渡中获得的最终用户洞察力对于未来的实施至关重要.
研究的目的:
- 评估最终用户对组织策略的观点,以促进成功的EHR过渡.
- 从临床工作人员和领导者的角度确定管理EHR实施的最佳实践.
主要方法:
- 一项多站点的定性研究,涉及来自美国四个不同的医疗保健系统的最终用户.
- 与42名参与者 (提供者,临床领导者,信息学家) 进行了半结构化的电话采访.
- 用内容分析来确定影响EHR过渡成功的关键组织实践.
主要成果:
- 参与者确定了一致的组织实践,支持跨不同站点和系统的EHR过渡.
- 在上线前的建议包括沟通理由,理解工作流程和规划定制.
- 现场支持强调了个性化培训,强大的内部资源,工作负载调整和主动问题解决.
- 启动后的战略重点是对EHR的持续投资.
结论:
- 该研究为未来的EHR转型提供了可操作的组织实践路线图.
- 卫生系统领导人在准备变革,支持最终用户和管理挑战方面发挥着至关重要的作用.
- 实施这些基于证据的实践可以提高EHR实施的成功率,并提高用户采用率.
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