迈向提供者构建者成熟度模型,使临床医生能够积极参与电子健康记录设计
Wayne H Liang1,2,3, Jeffrey M Hoffman4,5, Lia McNeely6
1Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States.
Applied clinical informatics
|January 9, 2025
概括
提供者构建者成熟度模型指导临床医生参与电子健康记录 (EHR) 设计. 这种模式有助于组织提高质量,安全性,并通过协作EHR开发来减少临床医生的倦怠.
科学领域:
- 临床信息学 临床信息学
- 卫生信息技术 信息技术
- 人与计算机的交互
背景情况:
- 让临床医生参与电子健康记录 (EHR) 设计对于提高质量和减少倦怠至关重要.
- 提供商构建程序增强跨专业的临床信息学教育.
研究的目的:
- 根据使用Epic Systems EHR的三个机构的经验,提出一个提供商构建者成熟度模型.
- 描述程序元素和关系,通过提供商构建程序推进组织利益.
主要方法:
- 使用了经过修改的Glaser State-of-the-Art方法,并获得了专家的共识.
- 包括来自更大的专家组,国家会议和AMIA成熟度模型工作组的反.
主要成果:
- 开发了一个六个阶段的提供商构建者成熟度模型:种植种子 (第0阶段) 到计算机在发生的房间 (第5阶段).
- 详细介绍了三个组织通过定义的成熟度阶段的进展情况.
- 概述了成熟度模型的每个阶段的下一步建议.
结论:
- 提供商构建者成熟度模型为组织提供了路线图.
- 促进临床医生参与协作EHR设计.
- 促进医疗保健质量,安全和临床医生福祉的改善.
相关概念视频
01:30Methods of Documentation VII: EMR
824
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
824
01:15Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:19Purpose of Health Records II
962
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
962
01:21Methods of Documentation III: PIE
1.3K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.3K
01:25Ethical Standards I
773
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
773
01:26Methods of Documentation II: POMR
911
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
911