电子健康记录和免疫信息系统互操作性对医疗实践疫苗接种工作流程的影响
Kevin J Dombkowski1, Pooja N Patel1, Hannah K Peng1
1Department of Pediatrics, Susan B Meister Child Health Evaluation and Research Center, University of Michigan, Ann Arbor, Michigan, United States.
Applied clinical informatics
|February 5, 2025
概括
电子健康记录 (EHR) 和免疫信息系统 (IIS) 的互操作性影响了疫苗接种工作流程. 虽然有好处,但采用这些系统需要新的流程,这可能是医疗实践的耗时和挑战.
科学领域:
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
- 医疗保健系统工程 系统工程
背景情况:
- 电子健康记录 (EHR) 和免疫信息系统 (IIS) 的互操作性可以提高数据质量,影响疫苗记录的及时性,完整性和准确性.
- 在医疗实践中,EHR/IIS互操作性对日常疫苗接种工作流程和记录保存的具体影响仍然在很大程度上未被研究.
研究的目的:
- 评估EHR/IIS互操作性对医疗实践中疫苗接种工作流程的影响.
- 确定互操作性如何影响与疫苗接种相关的临床和行政活动.
主要方法:
- 根据HL7与密歇根州护理改进注册表 (MCIR) 的互操作性级别,选择了各种专业和地点的实践.
- 进行了半结构面试,以了解在整个疫苗接种过程中与MCIR和EHR的实践互动.
- 分析了采访记录,以描述在疫苗接种工作流程中的技术使用情况.
主要成果:
- 在研究结束时,所有参与实践都至少实现了单向HL7能力.
- 提供者和工作人员在接种疫苗相关任务中大量使用了EHR和MCIR.
- 实践主要使用MCIR进行疫苗接种史,但也依赖纸质表格和其他文件.
结论:
- 医疗实践将EHR和IIS整合到他们的疫苗工作流程中,通常与纸质方法一起.
- 据报道,EHR/IIS互操作性存在好处,但实施需要学习新的,可能耗时的,工作流程流程,并带来新的挑战.
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