描述电子健康记录与集成安全消息使用的模式:横截面研究
Laura R Baratta1, Derek Harford2, Christine A Sinsky3
1Division of Biology and Biomedical Sciences, Washington University School of Medicine, Saint Louis, MO, United States.
Journal of medical Internet research
|October 6, 2023
概括
医疗保健专业人员广泛使用安全消息传递,随着消息量增加和快速响应时间的增加. 这种高使用率可能会扰乱临床医生的工作流程,并影响患者的护理.
科学领域:
- 医疗信息学 医疗信息学
- 临床交流 临床沟通
- 医疗保健操作 医疗保健操作
背景情况:
- 医疗保健专业人员之间的有效沟通对于患者安全至关重要.
- 安全消息平台越来越多地被用于医疗保健环境中的异步通信.
- 关于安全消息传递对通信负担的利用和影响的理解有限.
研究的目的:
- 描述电子健康记录集成安全消息平台的使用模式.
- 在大型医疗保健系统中分析消息量,响应时间,用户角色和工作设置.
- 调查安全消息对通信负担的贡献.
主要方法:
- 收集了六个月 (2022年7月 - 2023年1月) 安全消息平台使用情况的元数据.
- 分析数据包括消息量,响应时间,用户角色和工作设置 (住院患者与门诊患者).
- 检查了用户之间的消息特征和通信模式.
主要成果:
- 32,881名用户交换了超过960万条消息,每日量增加了29%.
- 护士,医生和医务助理是最常见的用户.
- 对话主要发生在两个用户之间,平均响应时间为2.4分钟,这表明中断潜力很高.
结论:
- 安全消息被各种医疗保健专业人员广泛使用,显示持续增长.
- 高信息量和快速响应时间表明可能对临床医生的工作流,认知和患者安全产生负面影响.
- 需要进一步的研究,以了解安全消息传递对医疗保健服务的全部影响.
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