解释电子医疗记录的变化 在初级保健室门诊接触的电子医疗记录的努力
J Marc Overhage1, Fares Qeadan2, Eun Ho Eunice Choi3
1The Overhage Group, Zionsville, Indiana, United States.
Applied clinical informatics
|March 20, 2024
概括
电子健康记录 (EHR) 的使用在个体医生层面上变化最大,而不是实践或卫生系统层面. 针对个体EHR用户的干预措施可能是提高效率最有效的.
科学领域:
- 医疗信息学 医疗信息学
- 医疗信息学 医疗信息学
- 临床信息学 临床信息学
背景情况:
- 电子健康记录 (EHR) 事件日志提供了关于EHR技术价值和效率的见解.
- 分析EHR使用数据可以识别影响用户效率,满意度和倦怠的设计因素.
研究的目的:
- 分析来自26个卫生系统的EHR事件日志数据.
- 为了确定个人,实践小组和卫生系统水平的电子健康记录使用的变化.
- 评估四个关键的EHR事件日志指标:主动EHR时间,文档时间,图表审查时间和订单时间.
主要方法:
- 收集了26个卫生系统内的2,285个初级保健实践的非识别的EHR事件日志数据.
- 分析了2018年6月至2019年5月期间5444名医生 (家庭和内科) 的数据.
- 在个人,实践和卫生系统层面对电子健康记录使用指标的估计变化.
主要成果:
- 个人医生在电子病历使用指标中变化的比例最大 (17.09%至27.49%).
- 实践水平的变化率在5.57%至13.52%之间,而卫生系统水平的变化率较低 (1.29%至3.55%).
- 在医生之间观察到活跃的EHR时间,文档时间,图表审查时间和订单时间的显著差异.
结论:
- 医生EHR使用模式在个人层面显示出最高的变化,在实践和卫生系统层面下降.
- 专注于提高个人电子病历用户效率的干预措施具有最大的影响潜力.
- 根据个别医生的工作流程量身定制效率改进可能比系统范围内的变化更有效.
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