电子健康记录设计对可用性和药物安全性的影响:系统性审查
Marie Cahill1, Brian J Cleary2,3, Shane Cullinan2
1School of Pharmacy and Biomolecular Sciences (PBS), Royal College of Surgeons in Ireland (RCSI), 1st Floor Ardilaun House Block B, 111 St Stephen's Green, Dublin 2, Ireland. MARIECAHILL@rcsi.com.
BMC health services research
|January 6, 2025
概括
电子健康记录 (EHR) 的设计显著影响了可用性和患者安全. 优先考虑设计元素,如可搜索性和工作流程,可以提高两者,减少药物错误.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 患者安全 患者安全
背景情况:
- 电子健康记录 (EHR) 提供了诸如改善护理流程和数据访问等好处.
- 糟糕的EHR设计可能会导致可用性挑战和关键错误,例如患者过量服用.
- 本研究评估了EHR设计对可用性和药物安全性的影响.
研究的目的:
- 系统地审查EHR设计元素对可用性和药物安全性的影响.
- 确定关键的设计主题及其与用户体验和患者安全结果的关系.
主要方法:
- 从2009年到2024年对四个数据库 (PubMed,EMBASE,CINAHL,ACM) 的系统审查.
- 包括涉及二级至四级护理机构医疗保健提供者的研究.
- 32项研究的叙述综合,根据ISO标准验证设计特征,并使用PRISMA指南.
主要成果:
- 七个设计主题出现了:可搜索性,自动化,定制,数据输入,工作流,用户指导和互操作性.
- 优先考虑这些主题的EHR显示出更高的可用性和更好的药物安全性.
- 相反,忽视这些设计方面与负面结果有关.
结论:
- 电子病历设计极大地影响了可用性和药物安全的结果.
- 关键的设计元素包括可搜索性,定制性,数据输入,工作流,自动化,用户指导和互操作性.
- 未来的评估应在整个开发过程中整合EHR设计评估.
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