从EHR事件日志数据创建转换因子:对初级保健医生研究人员衍生的和供应商衍生的指标进行比较
Honor S Magon1, Daniel Helkey1, Tait Shanafelt1
1Stanford University School of Medicine, Stanford, CA.
AMIA ... Annual Symposium proceedings. AMIA Symposium
|January 15, 2024
概括
标准化医生电子健康记录 (EHR) 时间测量对于理解倦怠至关重要. 这项研究提供了转换因子,使研究人员衍生的EHR指标更可靠,与供应商指标相比较.
科学领域:
- 医疗信息学 医疗信息学
- 医疗信息学 医疗信息学
- 临床研究 临床研究
背景情况:
- 医生花费大量时间对电子健康记录 (EHR) 进行处理,这往往会导致倦怠.
- 现有的标准化EHR时间指标可能不准确地反映现实世界的医生经验.
- 研究人员衍生的指标提供了潜在的可靠性,但缺乏标准化,特别是在不活动值方面.
研究的目的:
- 为医生开发标准化调查者衍生的指标,用于医生电子记忆录时间.
- 在原始事件日志数据和标准化供应商指标 (Signal) 之间建立转换因子.
- 为了研究目的,能够对医生EHR经验进行一致的量化.
主要方法:
- 采用了观察性,回顾性纵向研究设计.
- 来自EHR原始事件日志和Signal指标的数据在六个月内从一个大型学术医疗中心和附属机构收集.
- 这项研究分析了来自242名医生的5370万个事件日志,并将它们与5个基于时间的措施中的6850个信号指标进行了比较.
主要成果:
- 事件日志度量推导的最佳不活动值因度量而异,范围从90秒 (Visit Navigator) 到360秒 ("Pajama时间").
- 转换因子是为了使研究人员衍生的指标与跨不同不活动值的标准化信号指标保持一致而导出的.
- 这些发现有助于更一致,更可靠地测量医生EHR时间.
结论:
- 通过使用已确定的转换因子,可以实现标准化由调查人员衍生的EHR时间指标.
- 这种方法提高了研究人员准确量化医生电子病历使用及其影响的能力.
- 改进EHR时间的测量可以帮助解决医生倦怠问题并优化临床工作流程.
更多相关视频
相关概念视频
Methods of Documentation VII: EMR
836
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
836
Methods of Documentation V: CBE
902
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
902
Methods of Documentation VI: Case Management Model
574
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
574
Health Information Technology and Healthcare Information System
841
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
841
Pulse rhythm
803
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
803
Introduction to Documentation and Reporting
2.0K
Documentation is the systematic process of formally recording, maintaining, and communicating information.
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
2.0K


