手术手术电子健康记录的数据元素和过程步骤的开发和验证 推广旅行 手术手术电子健康记录
Lauren M Shapiro1, James Chang2, Paige M Fox2
1Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, United States.
Journal of hand and microsurgery
|December 28, 2023
概括
这项研究验证了使用电子健康记录 (EHR) 在手术外展访问低收入和中等收入国家 (LMICs) 期间的基本数据元素和流程步骤,旨在提高患者护理质量和安全.
科学领域:
- 全球手术全球手术
- 医疗信息学 医疗信息学
- 医疗技术 医疗技术 医学技术
背景情况:
- 低收入和中等收入国家 (LMICs) 面临着相当大的外科手术负担.
- 对LMICs的外科外展正在增加,以解决全球健康差异.
- 电子健康记录 (EHR) 对高收入国家的护理质量至关重要,但在外展环境中缺乏标准化的使用.
研究的目的:
- 为了验证EHR在手术外展中使用的基本数据元素.
- 定义在全球外科旅行期间实施EHR的标准化流程步骤.
- 建立一个基础,以改善LMIC患者数据管理和安全.
主要方法:
- 进行了文献审查,以确定外科外展的现有数据收集实践.
- 通过文献审查和专家采访开发了EHR数据收集的未来状态过程地图.
- 使用修改后的RAND/UCLA Delphi流程与专家联盟一起评估数据元素和流程步骤.
主要成果:
- 验证了对手术宣传至关重要的65个数据元素的全面数据集.
- 确定并验证了24个关键过程步骤,用于在这些环境中使用EHR.
- 经过验证的元素和步骤旨在无地集成到EHR系统中.
结论:
- 经过验证的组合提供了一个强大的框架,用于试点EHR在手术外展到LMICs.
- 在外展期间实施EHR可以显著提高患者护理的安全性和质量.
- 这些发现为全球卫生倡议中各种外科专业的EHR开发和实施提供了指导.
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