了解患者在从一个电子健康记录到另一个电子健康记录的过渡期间的经历:范围审查
Alison M Cogan1,2, Trenton M Haltom3,4, Stephanie L Shimada5,6,7
1Mrs. T. H. Chan Division of Occupational Science and Occupational Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA.
PEC innovation
|February 8, 2024
概括
患者对护理的满意度可能最初会在电子健康记录 (EHR) 系统过渡期间下降,但通常会回到基线. 需要对电子健康记录对整体患者护理质量的影响进行更多的研究.
科学领域:
- 医疗信息学 医疗信息学
- 患者体验研究 研究研究
- 医疗保健系统的过渡 医疗保健系统的过渡
背景情况:
- 电子健康记录 (EHR) 系统是现代医疗保健提供不可或缺的一部分.
- 电子病历系统之间的过渡可能会破坏患者的护理.
- 有限的研究存在,特别是在EHR转换期间的患者体验.
研究的目的:
- 确定和综合现有关于电子健康记录 (EHR) 系统过渡对患者医疗保健经验的影响的研究.
- 了解EHR到EHR转换期间患者满意度是如何受到影响的.
主要方法:
- 使用了一个范围审查方法.
- 在多个主要的学术数据库 (MedLine,OVID,Embase,CINAHL,PsycInfo) 进行了搜索.
- 纳入标准侧重于研究,检查患者与EHR-to-EHR过渡的经验.
主要成果:
- 三项研究符合审查的纳入标准.
- 用经过验证的调查评估患者满意度水平EHR过渡前后.
- 三项研究中有两项观察到患者满意度的初始下降,在6-15个月内恢复到基线;影响这种变化的因素尚不清楚.
结论:
- 在现有文献中,EHR过渡期间的患者体验被低估了.
- 未来的研究应该扩大范围超越满足,包括对护理质量维度的影响,如安全性,有效性,及时性,效率和公平性.
- 医疗保健领导者必须主动考虑和制定战略,以减轻在EHR过渡期间对患者护理的潜在负面影响.
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