实践中的直接安全消息:解决工作流挑战
James McCormack1, Christoph U Lehmann2, Katherine G Lusk3
1School of Medicine, Oregon Health & Science University, Portland, Oregon, USA.
Studies in health technology and informatics
|January 25, 2024
概括
直接安全消息 (DSM) 帮助临床医生交换患者数据,但管理信息的涌入是具有挑战性的. 提高用户意识和EHR能力是释放DSM在临床互操作性方面的全部潜力的关键.
科学领域:
- 医疗信息学 医疗信息学
- 临床交流 临床沟通
- 卫生信息交换健康信息交换
背景情况:
- 直接安全消息 (DSM) 便于医疗保健提供者之间的患者特定数据交换.
- 越来越多的DSM采用在管理数据量和多样性方面带来了挑战.
- 信息风险,包括认知过载,可能会损害临床医生的数据处理.
研究的目的:
- 从最终用户的角度来看,审查直接安全消息传递 (DSM) 的挑战.
- 确定阻碍DSM在临床互操作性方面充分发挥潜力的障碍.
- 为发送者和接收者提供优化DSM使用的最佳实践.
主要方法:
- 对最终用户与DSM的体验进行定性审查.
- 分析与DSM功能和电子健康记录 (EHR) 能力相关的挑战.
- 为DSM发送者和接收者确定最佳实践.
主要成果:
- 用户对DSM功能认识不足限制了它的有效性.
- 消息处理的可变EHR功能会造成不一致.
- 要实现DSM在低障碍,无处不在的临床互操作性方面的潜力,需要进行大量的工作.
结论:
- 解决用户意识和EHR变化对于改善DSM至关重要.
- 实施最佳实践可以提高DSM的效率.
- 优化DSM对于推进临床互操作性和减少临床医生的负担至关重要.
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