塞纳千年的专业护理推的护理途径:提供者和护士的经验,感知和改善建议
Kristina M Cordasco1,2,3, Alicia R Gable4, David A Ganz4,5,6,7
1VA HSR&D Center for the Study of Healthcare Innovation, Implementation and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA. Kristina.Cordasco@va.gov.
Journal of general internal medicine
|October 5, 2023
概括
电子健康记录中的结构化模板提高了护理质量. 然而,退伍军人卫生管理局的"护理途径"需要显著的可用性改进,以实现高效的专业护理转诊.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流的优化 临床工作流优化
- 人与计算机在医疗保健中的互动
背景情况:
- 电子推中的结构化模板通过标准化信息交换来提高护理质量.
- 退伍军人健康管理局 (VA) 在Cerner Millennium电子健康记录中实施了"护理途径",以简化专业护理转诊和转诊前检测.
研究的目的:
- 评估临床医生和工作人员在部署后对VA的Cerner千年"护理途径"的经验.
- 识别可用性问题并收集改善电子推流程的建议.
主要方法:
- 与初级保健提供者,注册护士和专业提供者进行了定性访谈,实施后12-20个月.
- 采用了快速的定性分析,包括独立的总结,共识合并和持续的比较主题分析.
主要成果:
- 虽然护理途径的概念得到了赞赏,但用户报告了显著的可用性挫折,包括低效率,缺乏简单性和糟糕的错误处理.
- 专家经常没有获得足够的信息来进行有效的转诊分类,这表明目前的系统存在关键差距.
结论:
- 塞纳千年的护理途径需要进行大量的修订,以解决可用性缺陷和技术限制.
- 护理途径需要进一步的投资和有针对性的改进,以有效优化退伍军人专业护理转诊.
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