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采用团队方法:通过培训和优化计划跟上EHR.

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科学领域:

  • 医疗信息学 医疗信息学
  • 医疗保健管理的管理
  • 人类因素工程 人类因素工程

背景情况:

  • 电子健康记录 (EHR) 是现代医疗保健的核心.
  • 医疗保健工作者 (HCWs) 与电子健康记录的经验显著影响效率和工作满意度.
  • 现有的EHR培训和优化计划 (ETOP) 在其实施和有效性方面存在很大差异.

研究的目的:

  • 描述目前EHR培训和优化计划 (ETOP) 的现状.
  • 评估 ETOP 对医疗保健工作者 (HCW) 与 EHR 的经验的影响.
  • 确定ETOP设计,资源和结果的共同点和差异.

主要方法:

  • 一项由72个问题组成的电子调查分发给医疗保健组织 (HCO) 临床信息学领导人.
  • 收集了关于ETOP特征,资源,方法和结果的数据.
  • 用描述性统计数据分析了147个不同的HCOs的反应.

主要成果:

  • 69%的HCO提供持续的EHR培训,52%有某种形式的ETOP.
  • 在时间,模式,受众,团队组成,持续时间和EHR构建策略方面,ETOP有很大差异.
  • 常见的测量结果包括EHR满意度,效率和提供者倦怠,大多数ETOP报告有所改善.

结论:

  • 在各HCO之间,ETOP的实施不一致,程序设计和评估方法各不相同.
  • ETOP的变化可能受到组织结构和文化的影响.
  • 通过提高EHR的效率和满意度,ETOP显示了减少HCW燃烧的潜力,作为更广泛的医疗保健挑战的典范.