应用实施科学推进电子健康记录驱动的学习健康系统:案例研究,挑战和建议
Katy E Trinkley1,2,3,4, Anna M Maw2,5, Cristina Huebner Torres6
1Department of Family Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
实施科学 (IS) 有助于学习健康系统 (LHS) 使用电子健康记录 (EHR) 改善医疗保健. 将IS应用于EHR驱动的LHS的关键挑战包括团队科学障碍和数据限制.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 实施科学 实施科学
- 医疗信息学 医疗信息学
背景情况:
- 电子健康记录 (EHR) 被广泛实施,促进学习健康系统 (LHS) 的发展.
- 实施科学 (IS) 框架对于确保LHS是可行的,快速的,代的,可靠的,可重复的,公平的和可持续的至关重要.
- 尽管取得了进展,但重大挑战阻碍了IS融入EHR驱动的LHS.
研究的目的:
- 识别和分析应用实施科学 (IS) 对电子健康记录 (EHR) 驱动的学习健康系统 (LHS) 的关键挑战.
- 为克服这些挑战提供解决方案和建议,以推动LHS进步.
- 用案例研究和IS框架来说明这些挑战和解决方案.
主要方法:
- 分析了6个关键挑战:团队科学障碍,有限的IS经验,数据/技术限制,时间/资源限制,IS方法的适当性和公平性考虑.
- 通过来自不同卫生环境的3个案例研究来说明挑战.
- 应用 1 实施科学框架来分析案例研究.
主要成果:
- 确定了在EHR驱动的LHS中应用IS的重大障碍,包括团队科学问题和数据限制.
- 案例研究表明,在现实世界医疗保健环境中实施IS存在实际挑战.
- 在应用IS方法和利用EHR时,特别突出了应用IS方法和利用EHR的具体瓶.
结论:
- 克服IS应用中的挑战对于最大限度地发挥EHR驱动的LHS潜力至关重要.
- 建议包括加强对实用IS方法的指导,并专注于包容性数据生成和访问.
- 未来的研究和实践应优先解决针对更有效的LHS发展所识别的障碍.
更多相关视频
07:31Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
Published on: May 15, 2020
06:05The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
Published on: February 19, 2021
相关概念视频
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Methods of Documentation VII: EMR
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Nursing Clinical Information System
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:
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
