减轻临床医生的文档负担:对减轻负担努力的全面审查
Elizabeth A Sloss1, Shawna Abdul2, Mayfair A Aboagyewah3
1Division of Health Systems and Community Based Care, College of Nursing, University of Utah, Utah, United States.
Applied clinical informatics
|June 5, 2024
概括
减少临床医生的文档负担对于改善患者护理和工作满意度至关重要. 本综述总结了医疗书记和技术等策略,显示了积极的结果,但强调需要对最佳实践进行更多研究.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 医疗保健管理的管理
背景情况:
- 临床医生的文档负担会对患者护理产生负面影响,增加错误,并降低工作满意度.
- 有效的缓解策略可以提高临床医生的满意度和患者交互时间.
- 目前的文献中缺乏基于证据的干预措施来减少文档负担.
研究的目的:
- 识别和综合现有的关于减少医疗保健文档负担策略的科学文献.
- 提供有关该领域研究现状的全面概述.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-ScR指南进行系统范围审查.
- 在多个数据库 (PubMed,Medline,Embase,CINAHL,Scopus,Web of Science) 和灰色文献中进行了搜索.
- 由两个审稿人进行独立选和数据提取,第三名审稿人解决差异.
主要成果:
- 包括2016-2022年间发表的34篇文章,主要来自美国.
- 将减少工作量分类为医疗书记,工作流改善,教育,用户驱动的方法,技术和综合策略.
- 报告的结果包括减少文件处理时间,提高工作流程效率,提高提供者的满意度和更好的患者互动.
结论:
- 本综述总结了卫生系统减少文档负担的努力,证明了潜在的有效性.
- 需要进一步的研究,以建立普遍适用的最佳实践.
- 关键考虑因素包括负担转移,教育质量,临床医生的参与以及强大的评估方法.
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