优化计算机化供应商订单输入系统和减少临床医生负担的实用方法:对供应商衍生的"订单摩擦"数据的前后评估
Elise L Ruan1,2, Sarah C Rossetti1,3, Hanson Hsu4
1Department of Biomedical Informatics, Columbia University, New York, New York, USA.
AMIA ... Annual Symposium proceedings. AMIA Symposium
|January 15, 2024
概括
本研究介绍了一种实用方法,通过使用订单摩擦 (OF) 数据优化计算机化供应商订单输入 (CPOE) 系统来减少临床医生的负担. 实施常见测试的默认频率大大减少了所需的订单修改.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流的优化 临床工作流优化
- 电子健康记录 (EHR) 数据分析 数据分析
背景情况:
- 计算机化提供者订单输入 (CPOE) 系统对临床医生的负担作出了重大贡献.
- 供应商衍生措施,如订单摩擦 (OF),为CPOE系统优化提供了潜力.
- 分析EHR日志数据对于理解和改进临床工作流程至关重要.
研究的目的:
- 通过减少订单摩擦 (OF) 来优化CPOE系统,提出一个实用的六步方法.
- 在卫生系统内分析来自供应商的OF EHR日志数据.
- 评估常规测试频率缺陷对订单修改的影响.
主要方法:
- 分析来自供应商的订单摩擦 (OF) EHR日志数据.
- 开发和应用一个六步CPOE优化流程.
- 一项干预前后研究,评估尿液,便和鼻抽样检测频率缺陷的影响.
主要成果:
- 拟议的六步方法为CPOE系统优化提供了一个框架.
- 默认的尿液,便和鼻抽样测试频率导致所需的顺序更改显著减少 (p<0.01).
- OF数据分析可以确定提高CPOE效率和减少临床医生的负担的领域.
结论:
- 通过减少订单摩擦 (OF) 来优化CPOE系统是可行的和有益的.
- 默认订单频率是减少修改和提高效率的有效策略.
- 对分析OF数据的系统方法可以在临床订购过程中带来显著的改进.
相关概念视频
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
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K
Methods of Documentation II: POMR
955
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
955
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
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
Nursing Clinical Information System
779
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
779


