床边护士的记录实践:在病人床边还是没有?
1Author Affiliation: Research & Development, Center of Innovation (COIN), Health Equity and Rural Outreach Innovation Center (HEROIC), Ralph H. Johnson VA Medical Center, Medical University of South Carolina.
Computers, informatics, nursing : CIN
|June 24, 2024
概括
电子健康记录改善了患者的护理,但最好的记录位置尚不清楚. 这项研究调查了护士在床边,轮式工作站或护理站的效率,发现结果不确定.
科学领域:
- 医疗信息学 医疗信息学
- 护理实践 护理实践
- 患者护理技术 患者护理技术
背景情况:
- 高质量的医疗保健依赖于准确和及时的提供者文件.
- 电子文档改善了患者记录的保存,并在全球范围内减少了医疗错误.
- 电子患者护理文档的最佳物理位置仍然是一个悬而未决的问题.
研究的目的:
- 评估床边护士对基于位置的记录实践效率的意见.
- 为了比较护士对病人的床边,轮式工作站 (WOW) 和护理站的记录效率的看法.
主要方法:
- 在室内计算机实施之前和之后,对床边护理人员进行调查.
- 在美国东北部退伍军人事务医疗中心的外科和医疗/外科单位进行的研究.
- 在三个不同的地点评估护士对文件效率的意见.
主要成果:
- 该研究给出了关于最有效的文档位置的不确定的结果.
- 护士对效率的看法在床边,WOW和护理站设置中各不相同.
- 需要进一步的研究来确定最佳的文档环境.
结论:
- 虽然电子文档是有益的,但其最有效的实施环境需要进一步调查.
- 应探索室内患者记录系统的创新策略和用户友好的设计.
- 优化文档位置对于提高护理工作流程和患者护理质量至关重要.
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