临床医生和工作人员在电子健康记录过渡期间与丧的患者的经验:一个定性案例研究
Sherry L Ball1, Bo Kim2,3, Sarah L Cutrona4,5
1VA Northeast Ohio Healthcare System, 10701 East Blvd., Research Service 151, 44106, Cleveland, OH, USA. Sherry.ball@va.gov.
BMC health services research
|April 26, 2024
概括
电子健康记录 (EHR) 的转换扰乱了临床医生和患者的体验. 应急准备框架可以通过准备用户和监控转型后的门户功能来减轻问题.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 患者体验 患者体验
背景情况:
- 电子健康记录 (EHR) 的转换严重破坏了临床工作流程和患者门户的使用.
- 临床医生和工作人员的看法受到EHR转换期间患者直接反的影响.
- 了解这些影响对于成功实施系统至关重要.
研究的目的:
- 检查临床医生和工作人员对EHR过渡期间患者体验的看法.
- 应用应急准备框架来分析和应对挑战.
- 确定减轻干扰和改善门户网站可用性的策略.
主要方法:
- 使用122次采访与30名临床医生和工作人员进行的定性案例研究.
- 采访之前进行,立即之后,和最多12个月后去生活.
- 对面试成绩单进行主题分析,应用应急准备框架 (减轻,准备,响应,恢复).
主要成果:
- 临床医生表示担心EHR门户沟通可靠性和患者访问问题.
- 患者在门户导航方面遇到困难,导致呼叫中心使用率和诊所访问量增加.
- 增加了患者亲自访问,增加了临床医生的工作量和患者福祉问题.
结论:
- 应急准备框架为管理EHR过渡挑战提供了一个结构化的方法.
- 关键策略包括积极识别有风险的患者,以患者为中心的资源传播,服务能力建设和门户功能监控.
- 实施这些策略可以减轻干扰,并改善临床医生和患者的EHR过渡体验.
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