伦理咨询文件简化项目:参与过程,用户感知和随后的使用模式的总结
Meaghann S Weaver1,2, Anita J Tarzian3, Hannah N Hester3
1National Center for Ethics in Health Care, Veterans Health Administration, 810 Vermont Ave., Washington, DC, 20420, USA. Meaghann.Weaver@va.gov.
概括
简化退伍军人卫生管理局的简化
科学领域:
- 医疗保健道德 医疗保健道德
- 医疗信息学 医疗信息学
- 提高质量 提高质量
背景情况:
- 退伍军人卫生管理局 (VHA) 使用IEWeb,一个企业范围的数据库,在1300个设施中查询医疗保健伦理文件.
- 确定需要将IEWeb从培训资源转变为一个有效的文档存储库,捕获关键的咨询元素.
研究的目的:
- 增强IEWeb数据库,以简化医疗保健伦理文档.
- 为了提高伦理学效率,频率和质量,请参阅VHA内部的文档.
主要方法:
- 召集VHA国家卫生保健伦理中心 (NCEHC) 改进小组.
- 与用户进行六个重点小组,以指定和优先考虑IEWeb的变化.
- 实施区域试点和国家调查,以衡量影响和用户观点.
主要成果:
- 确定了改善文档的六个优先领域,包括一个摘要注释功能.
- 更新后,查阅文档增加,截止时间减少4.5天.
- 文档质量有所改善",超标"得分从78%上升到89% (n=140).
结论:
- 简化IEWeb减少了文档负担,提高了顾问的满意度.
- 改进的IEWeb带来了更多的文档频率和临床上有意义的质量改进.
- 更新后的系统使伦理顾问能够重新将注意力集中在核心文档任务上.
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