电子健康记录严重疾病对话仪表板:一个实施案例系列
Yasmina Hachem1, Joshua Lakin2, Winifred Teuteberg3
1Beth Israel Lahey Health Mount Auburn Hospital (Y.H.), Cambridge, Massachusetts, USA.
Journal of pain and symptom management
|November 7, 2024
概括
严重疾病对话 (SIC) 仪表板提高了质量,但面临着挑战. 临床人员采用文档模板和对数据的接受性会影响其可靠性和在医疗保健中的使用.
科学领域:
- 医疗信息学 医疗信息学
- 提高质量 提高质量
- 抚慰性护理是一种缓解性护理.
背景情况:
- 仪表板可视化卫生系统的质量指标,以提高临床绩效.
- 电子健康记录 (EHR) 中严重疾病对话 (SIC) 的结构化文档模板使SIC仪表板的开发能够提高质量.
- 关于SIC仪表板的成功和挑战的信息有限.
研究的目的:
- 探索卫生系统在实施严重疾病对话 (SIC) 仪表板方面遇到的成功和挑战.
- 确定与SIC仪表板在质量改进举措中的使用和影响相关的主题.
主要方法:
- 采用了一个实施案例系列设计.
- 与八个卫生系统的九名息护理领导者进行了半结构化访谈和调查.
- 对面试数据和案例信息进行了定性分析,以确定关键主题.
主要成果:
- 仪表板主要侧重于过程指标,增强数据访问,监测临床医师培训和质量改进工作.
- 息护理领导者利用仪表板数据来推动实践变化,尽管临床医生对数据的反应各不相同.
- 仪表板的实施需要大量的财务和技术资源,其中的一些挑战是由于结构化文档模板的不一致使用导致的数据可靠性问题.
- 将以患者为中心的结果措施集成到仪表板中提出了挑战和紧张局势.
结论:
- SIC仪表板对于识别护理差距和促进临床医师实践变革是有价值的.
- 临床医生采用结构化文档模板的挑战以及对数据反的混合接受性可能会阻碍仪表板的可靠性和有效性.
- 需要进一步的研究来优化SIC仪表板的实施,并解决临床医生的参与.
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