一个指定的笔记写作小时对儿科实习生遵守值班时间的影响
William Adamiak1, William Graessle2, Natasha Goulet2
1Cooper Medical School of Rowan University, Camden, NJ, USA.
Journal of medical education and curricular development
|October 20, 2023
概括
为儿科实习生写笔记的专用小时提高了效率,但没有达到通过签约完成80%的目标. 这种干预措施有望优化实习生的工作流程和患者护理时间.
科学领域:
- 医学教育 医学教育
- 医疗保健管理部门的管理.
- 临床信息学 临床信息学
背景情况:
- 儿科实习生花费大量的工作时间来笔记写作,减少了直接照顾患者的时间.
- 80小时工作周与实习生只花费12%的时间直接照顾病人相比,40%的时间在电脑上.
研究的目的:
- 评估专用笔记写作小时对儿科实习生笔记完成行为的影响.
- 为了确定这种干预是否可以在内部轮班结束前完成80%的笔记.
主要方法:
- 使用了EPIC电子健康记录 (EHR) 数据库中的时间.
- 分析了儿科实习生完成笔记的数据,跨越了三个时期:实施前,实施后立即,以及实施后的一年.
主要成果:
- 通过注册退出完成的备忘录从实施后的67.9%增加到73.5%.
- 在受保护时间内完成笔记的百分比从34.0%上升到53.7%.
- 在不到一个小时内完成的笔记的比例有了显著的改善,尽管有变化.
结论:
- 指定笔记写作时间是提高内部笔记写作效率的有效干预措施.
- 该研究没有达到其主要目标,即通过签名完成80%的笔记.
- 可能需要进一步的策略来充分优化内部文档工作流程.
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