通过EHR驱动的EPA评估的交付显著改善了参与度
Carolyn Chang1, Jonathan Jesneck2, Emily Lee3
1Department of Surgery, Surgical Data and Decision Sciences Lab, OHSU, Portland, Oregon.
Journal of surgical education
|July 4, 2024
概括
电子健康记录 (EHR) 驱动的可信任专业活动 (EPA) 的交付将完成率提高4.6倍. 自动化,EHR集成的工作流程和灵活的设备访问是成功的手术培训数字教育的关键.
科学领域:
- 医学教育 医学教育
- 数字健康数字健康
- 进行外科手术培训.
背景情况:
- 通过EPA,数字教育工具对于基于能力的医学教育 (CBME) 至关重要.
- 了解EHR集成,设备访问和用户行为对于成功实施至关重要.
研究的目的:
- 评估EHR驱动的交付与手动启动EPAs的影响.
- 评估灵活设备访问对EPA完成和用户参与的影响.
主要方法:
- 一个符合HIPAA的平台收集了21个整体外科项目 (2023年7月至2024年4月) 的EPA.
- 对比了5个EHR集成 (EHR+) 机构与16个非集成 (EHR-) 机构进行手动启动的自动化EPA交付.
- 将护理阶段捆绑到CEPA中,并分析完成率和用户行为指标.
主要成果:
- 收集了4187个cEPA; 82%来自EHR+机构.
- 自动触发显著增加了EPA完成率 (88%的教师,81%的居民).
- 教师更喜欢自动化OR触发的EPA;居民在1.5小时内审查反. 计算机产生了更多的评论.
结论:
- 在EHR驱动的EPA交付中,完成率增加了4.6倍,自动提醒驱动启动和习惯形成.
- 灵活的设备访问可以提高EPA完成和反效用.
- 在外科教育中,EPA工作流程的高效性是EHR整合至关重要的.
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