"这是第一次......我认真地与倦怠作斗争":临床医生经历了具有挑战性的电子健康记录过渡
Sherry L Ball1, Justin M Rucci2,3, Brianne K Molloy-Paolillo4
1VA Northeast Ohio Healthcare System, Cleveland, OH 44106, United States.
JAMIA open
|July 16, 2024
概括
实施新的电子健康记录 (EHR) 对临床医生和工作人员造成了重大破坏. 策略包括提高可用性,提供基于角色的培训,并提供持续支持,以减少在EHR过渡期间的压力.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 人与计算机的交互
背景情况:
- 退伍军人事务部 (VA) 正在从传统的电子健康记录 (EHR) 转向新的商业电子健康记录系统进行大规模的过渡.
- 这个全国性的,滚动波的过渡影响了许多临床环境和人员.
- 评估临床医生和工作人员的经验对于优化未来的EHR实施至关重要.
研究的目的:
- 评估在全国EHR过渡期间的临床医生和工作人员的经验.
- 确定可操作的策略,以改善未来的EHR推出,并减轻对医疗保健专业人员的负面影响.
主要方法:
- 采用了融合混合方法的形成性评估.
- 通过在转型前,转型后2个月和转型后10个月进行的调查以及通过122个半结构面试收集数据.
- 参与者包括初始EHR过渡地点的专科和初级保健团队.
主要成果:
- 在EHR过渡期间,临床医生和工作人员经历了严重的干扰,在实施后持续了一年.
- 调查数据显示,培训困难,EHR可用性下降,EHR负担增加,归因于系统效率低下和支持不足.
- 参与者报告说,与EHR过渡有关的持续高水平的压力和倦怠.
结论:
- 改善EHR过渡的关键策略包括与供应商合作以提高可用性,实施基于角色的培训与自主学习,建立同行领导的支持,及时提供反,以及解决员工压力和倦怠.
- 这些策略对于在EHR实施期间和之后支持临床团队至关重要.
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