手动数据传输过程中的外科调度错误
Timothy Davis1, Tony Ong, Terry Nguyen
1Author Affiliations: Source Healthcare, Santa Monica, California.
Quality management in health care
|January 24, 2025
概括
在手术安排期间手动转录患者健康信息 (PHI) 会导致频繁的错误,导致显著的延误和索赔拒绝. 优化数据传输对于医疗保健效率至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理局的管理.
- 患者安全 患者安全
背景情况:
- 在手术安排中手动转录患者健康信息 (PHI) 容易出现人为错误.
- 这些错误可能导致索赔拒绝,效率降低,并可能对患者造成伤害.
- 预先授权的负担导致治疗延迟和放弃.
研究的目的:
- 在手术安排期间模拟PHI转移.
- 检查经验丰富的调度人员手动输入数据到电子健康记录 (EHR) 的错误率.
- 识别导致索赔延迟和拒绝的关键数据点.
主要方法:
- 50名参与者手动将PHI从手术形式转录到模拟的EHR中.
- 确定了八个关键数据点.
- 参与者被分配到10分钟或18分钟的转录时间组.
- 测量了转录错误,并使用双尾t测试 (P < .05) 确定了统计意义.
主要成果:
- 100%的参与者在每个表格中至少犯了一个错误.
- 10分钟组的临界误差率高于18分钟组的临界误差率 (P = .03).
- 85.5%的填写表格包含关键错误,可能会延迟授权和支付.
- ICD-10代码,CPT代码,授权号码,程序和保险ID最容易出现错误.
结论:
- 手动PHI转移在手术安排中是一个重大挑战,导致授权和支付拒绝.
- 由于人为错误而导致的数据退化可能会在多个传输点上积累.
- 医疗机构应该探索数字解决方案和加强培训,以尽量减少错误和提高效率.
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