虚拟书记和医生在电子健康记录上花费的时间
Lisa Rotenstein1,2,3, Edward R Melnick4,5, Christine Iannaccone2
1Harvard Medical School, Boston, Massachusetts.
JAMA network open
|May 24, 2024
概括
虚拟抄写员使用显著减少了医生的电子健康记录 (EHR) 时间,包括文档和超时工作. 这项技术有望通过简化EHR任务来缓解医生倦怠.
科学领域:
- 医疗信息学 医疗信息学
- 医疗文件 医疗文件
- 医生倦怠症 在医生倦怠症中
背景情况:
- 医生倦怠是一个重大问题,通常与在电子健康记录 (EHR) 上花费大量时间有关.
- 虚拟写字技术提供了一种潜在的解决方案,以减轻与EHR相关的文档负担.
研究的目的:
- 分析虚拟抄写员采用如何影响医生的电子记录时间.
- 评估EHR笔记和订单构成的变化后的虚拟抄写员实施.
- 为了确定影响EHR时间缩短的医生和书记相关因素.
主要方法:
- 一个回顾性,前后质量改善研究,涉及144名医生跨越各种专业.
- 医生使用实时或异步虚拟书记至少三个月.
- 从2020年1月到2022年9月收集的数据,从2022年11月到2024年1月进行分析.
主要成果:
- 虚拟书记使用与每次预约的EHR总时间显著减少 (减少5.6分钟) 相关联.
- 在笔记上花费的时间和"睡衣时间" (工作时间以外的工作) 显著下降.
- 医疗专家和具有较高基线EHR时间的医生经历了更大的EHR时间减少.
结论:
- 虚拟书记者有效地减少了医生在电子健康记录,笔记文件和超时工作上的时间.
- 这项技术对医疗专家和那些拥有大量初始EHR时间的人特别有益.
- 虚拟写字员的实施可以是一个有价值的策略,以减少医生的工作负担和倦怠.
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