在一个资源较低的国家的急诊部实施电子病历:经验教训
Nagham Faris1, Miriam Saliba1, Hani Tamim2,3
1Emergency Department, American University of Beirut Medical Center, Beirut, Lebanon.
PloS one
|March 1, 2024
概括
在低资源环境中的急诊部 (ED) 实施电子病历 (EMR) 可以取得成功. 学习的策略可以优化EMR采用,并最大限度地减少工作流程中断.
科学领域:
- 医疗信息学 医疗信息学
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于在美国以外的急诊室 (ED) 实施电子病历 (EMR) 的数据有限,特别是在资源较少的环境中.
- 成功采用EMR对于改善医疗保健操作和患者治疗结果至关重要.
研究的目的:
- 概述在ED环境中成功实施EMR的策略.
- 评估EMR实施对ED操作和患者指标在低资源环境中的影响.
主要方法:
- 在黎巴嫩贝鲁特的第三级护理ED中进行了一项观察性回顾性研究.
- 质量指标,停留时间 (LOS),入院前访问决策和反弹率在EMR实施前和后被跟踪.
- 进行了最终用户和患者满意度调查.
主要成果:
- 观察到LOS和入院前访问决策的暂时增加,在六个月内恢复到基线.
- 反弹率在实施后显示有所增加.
- 最终用户对EMR表示满意,而患者满意度保持不变.
结论:
- 在资源较少的ED中成功实施EMR需要提供商建议和机构特定策略的结合.
- 这些策略可以防止未来EMR采用项目的工作流中断.
- 经验教训为优化在类似环境中的EMR集成提供了一个框架.
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