从我们的患者身上学习:一项探索性研究,为内部医学子专业的研究员提供病例跟踪仪表板的开发信息
Daniel J Minter1, Annabel K Frank2, Logan Pierce3
1Division of Infectious Diseases, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.
Medical teacher
|September 2, 2024
概括
内部医学子专业研究员使用电子健康记录来跟踪病例,由好奇心和专业成长驱动. 时间和系统挑战阻碍了他们有效跟踪患者和增强学习的能力.
科学领域:
- 医学教育 医学教育
- 临床实践 临床实践
- 医疗信息学 医疗信息学
背景情况:
- 病例跟踪对于为临床决策提供信息和增强医生体验式学习至关重要.
- 内部医学子专业研究员面临大量患者,需要在有限的时间范围内培养专业知识.
- 了解研究员对案件跟踪的具体需求和动机是必不可少的,但目前是有限的.
研究的目的:
- 探索内部医学子专业研究员在病例跟踪方面的动机,偏好和实践.
- 确定影响研究员参与案件跟踪的关键驱动因素和障碍.
- 收集洞察力,以改善病例跟踪工具和支持系统的研究员.
主要方法:
- 对内部医学子专科研究员的采访进行了定性内容分析.
- 在2022-2023学年在单一的学术医疗中心进行了采访.
- 包括22名研究员在研究样本中.
主要成果:
- 大多数研究员使用电子健康记录 (EHR) 列表来跟踪病例.
- 奖学员优先追踪临床不确定性和特定感兴趣的疾病的病例.
- 动机包括好奇心,专业成长和发展实践模式,而障碍则涉及时间限制和系统可用性问题.
结论:
- 内部医学子专业奖学金奖学员重视案例跟踪,以补充体验式学习.
- 该研究确定了当前的实践,动机,偏好和研究员跟踪病例的挑战.
- 调查结果将为开发嵌入EHR的仪表板提供信息,以提高案件跟踪效率.
相关概念视频
Methods of Documentation VI: Case Management Model
564
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
564
Methods of Documentation IV: Focus Charting
1.0K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.0K
Flow Sheet
1.5K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
1.5K
Health Information Technology and Healthcare Information System
811
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:
811
Case Studies
11.6K
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
11.6K
Methods of Documentation III: PIE
1.4K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.4K


