定义所有卫生专业人员的文档负担 (DocBurden) 和过度的文档负担:一个范围审查
Deborah R Levy1,2, Jennifer B Withall3, Rebecca G Mishuris4
1Department of Veterans Affairs, Pain Research Informatics Multimorbidities and Education Center, VA-CT, West Haven, Connecticut, United States.
定义过度的文档负担 (DocBurden) 对临床医生的健康和患者安全至关重要. 这项研究将过度的文档负担定义为来自不一致的文档系统的不必要压力,旨在实现更好的干预.
科学领域:
- 医疗信息学 医疗信息学
- 临床文档 临床文档
- 医疗保健管理的管理
背景情况:
- 文档负担 (DocBurden) 影响卫生专业人员 (HP) 的健康和患者安全.
- 缺乏精确的定义阻碍了国家对文档负担的努力和测量.
- 过度的文档负担是医疗保健领域的一个新兴问题.
研究的目的:
- 为了建立一个标准的定义DocBurden.
- 定义过度文档负担的概念.
- 要区分基线和过度的文档负担.
主要方法:
- 进行了关于DocBurden定义的文献范围审查.
- 在六个数据库中搜索学术和灰色文学.
- 利用美国护理信息学协会的六个领域的负担框架来澄清概念.
主要成果:
- 包括153篇文章;只有18%提供了DocBurden的定义.
- 定义过度的文档负担是由于错误的文档系统可用性和活动造成的压力.
- 指出,现有的文献缺乏基线和过度的文档负担之间的区别.
结论:
- 现有的文献未能区分基线DocBurden和过度DocBurden.
- 过度的文档负担的拟议定义突出了这一区别.
- 这种定义支持开发有意义的干预措施.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
07:50A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
相关概念视频
Methods of Documentation II: POMR
Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Introduction to Documentation and Reporting
Nursing documentation records essential information and details regarding a patient's care and treatment in written or electronic form. It is a critical aspect of nursing practice that involves documenting assessments, interventions, outcomes, and other relevant details about a patient's health status.
Documentation maps the patient's health journey by creating a comprehensive...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Legal Guidelines for Documentation
