细微差别的影响DAX环境听力AI文档:一个队列研究
Tyler Haberle1, Courtney Cleveland1, Greg L Snow1
1Digital Technology Services, Intermountain Health, Salt Lake City, UT 84120, United States.
Journal of the American Medical Informatics Association : JAMIA
|February 12, 2024
概括
像Nuance Dragon Ambient eXperience (DAX) 这样的环境听解决方案在不影响患者安全或体验的情况下显示出提供者参与的积极趋势. 然而,没有观察到生产力或文档的显著改善.
科学领域:
- 医疗保健技术评估 医疗保健技术评估
- 临床信息学 临床信息学
- 医疗文档系统 医疗文档系统
背景情况:
- 电子健康记录 (EHR) 系统给医疗保健提供者带来了文档挑战.
- 环境听力和数字写字解决方案旨在减轻这些负担.
- 纽安斯龙环境体验 (DAX) 是正在评估的解决方案之一.
研究的目的:
- 评估Nuance Dragon环境体验 (DAX) 对提供商参与的影响.
- 评估电子健康记录 (EHR) 时间的变化,包括超时工作.
- 确定对提供商生产力,文件及时性以及当前程序术语 (CPT) 提交的文件的影响.
主要方法:
- 一项同行匹配的受控队列研究于2022年3月至9月进行.
- 综合医疗保健系统内的门诊诊所参与.
- 结果包括提供者参与调查,患者安全事件,患者建议和EHR/CPT指标.
主要成果:
- 在使用DAX时,观察到供应商参与的积极趋势.
- 非参与者经历了更糟糕的参与.
- 没有注意到提供者生产力或患者体验的显著变化;工作时间后的EHR时间明显恶化.
结论:
- 环境指令技术显示了增强提供者体验的潜力.
- 需要进一步的研究来比较EHR文档效率培训方法.
- 目前的研究结果表明,提供者参与有好处,而不会损害患者的安全或体验.
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