在医院间转移期间提前提供健康信息:一个中断的时间序列
Stephanie K Mueller1,2, Pamela Garabedian3, Eric Goralnick2,4
1Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts, USA.
本研究引入了一个健康信息交换 (HIE) 平台,以改善在医院间转移 (IHT) 期间的数据访问. 目标是通过更好的沟通减少医疗错误,提高患者安全.
科学领域:
- 医疗信息学 医疗信息学
- 临床系统工程 临床系统工程
- 患者安全研究 患者安全研究
背景情况:
- 医院间转移 (IHT) 涉及到分散的沟通和不充分的健康信息交换 (HIE).
- 在IHT期间对临床信息的有限访问可能会损害患者的护理和安全.
- 目前在IHT期间的HIE实践不足以实现最佳的临床决策.
研究的目的:
- 为医院间转移设计,实施和评估一个新的HIE平台.
- 通过以用户为中心的设计,优化临床医生的工作流程,数据可视化和互操作性.
- 评估HIE平台对IHT期间医疗错误和患者安全的影响.
主要方法:
- 用户为中心的设计会议用于平台开发.
- 在干预前和干预后的IHT患者中,临床医生报告的医疗错误的中断时间序列分析.
- 混合方法评估平台可用性,可靠性和实施因素.
主要成果:
- 该研究将评估HIE平台对患者安全终点的影响.
- 将评估临床医生的工作流程负担和感知到的可用性.
- 将确定HIE平台实施的障碍和促进者.
结论:
- 开发的HIE平台旨在改善IHT期间的数据可访问性和临床通信.
- 预计成功实施将减少医疗错误并提高患者安全.
- 结果将为创建一个工具包提供信息,以便在IHT中更广泛地采用HIE和可持续性.
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