关于在治疗败血症幸存者的过渡期间信息传输缺陷的EHR解决方案
Kathryn H Bowles1,2, Sang Bin You1, Elaine Sang1
1University of Pennsylvania School of Nursing, NewCourtland Center for Transitions & Health, Philadelphia, PA, USA.
Studies in health technology and informatics
|July 25, 2024
概括
在从医院到家庭护理的过渡期间,在患者记录中经常缺少败血症记录. 一个自动化的信息技术解决方案改善了对败血症幸存者的数据传输和护理协调.
科学领域:
- 实施科学 实施科学
- 医疗信息学 医疗信息学
- 患者护理过渡 患者护理过渡
背景情况:
- 败血症诊断记录在仅4%的家庭健康记录的幸存者.
- 过渡期护理记录的不良文档导致护理碎片化和不良结果.
- 在医院和家庭护理机构之间发现了败血症文档的缺陷.
研究的目的:
- 调查在医院到家庭护理过渡期间败血症记录不足的原因.
- 开发和实施信息技术 (IT) 解决方案,以改善文档和信息传输.
- 评估实施的IT解决方案在加强护理协调方面的有效性.
主要方法:
- 实施科学研究涉及16家医院和5家家庭护理机构.
- 开发和部署两个IT解决方案,以解决文档缺陷的问题.
- 对不同IT方法的采用和有效性的比较分析.
主要成果:
- 医疗人员更容易采用自动化的IT方法.
- 自动化方法在改善信息传输方面被证明是有效的.
- 在七家医院成功实施,证明了可行性.
结论:
- 解决败血症文档缺陷对于在护理过渡期间的患者安全至关重要.
- 自动化的IT解决方案有效地改善了医疗机构之间的数据交换.
- 增强的信息传输可以导致更好的准备和患者的结果.
相关概念视频
01:30Methods of Documentation VII: EMR
829
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
829
01:27Nursing Clinical Information System
765
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
765
01:18Guidelines and Strategies for Safe Computer Charting
798
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
798
01:29SBAR I: Understanding the Concept
4.5K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.5K
01:30Health Information Technology and Healthcare Information System
813
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
813
01:29Documentation in Long-Term and Home Healthcare Setting
878
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
878