临床医生使用环境写字技术的经验,以帮助处理文档负担和提高效率
Matthew J Duggan1, Julietta Gervase2, Anna Schoenbaum1
1Department of Information Services, University of Pennsylvania Health System, Philadelphia.
JAMA network open
|February 19, 2025
概括
环境写字技术显著减少了临床文档的时间和临床医生的下班时间. 这种人工智能工具还改善了当天预约结束和门诊机构的临床医生与患者的互动.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
- 改善临床文档 改善临床文档
背景情况:
- 临床文档给医疗保健提供者带来了巨大的负担,影响了效率和工作满意度.
- 使用人工智能的环境写作技术旨在通过在患者接触期间自动记录笔记来减轻这种负担.
研究的目的:
- 评估人工智能驱动的环境写字工具对临床文档在门诊环境中的效率,质量和感知负担的影响.
- 评估临床医生的经验和对环境写字技术的满意度.
主要方法:
- 一个前性的,单组的,前后质量改善研究,涉及46名临床医生 (医生,NP,PA) 在一个学术卫生系统.
- 收集了客观指标 (笔记中的时间,当日关闭,下班时间) 和主观反 (调查,利克特尺度,系统可用性尺度,净促销商分数).
- 在数据分析中使用混合效应模型.
主要成果:
- 环境写作使用与每次约会中花费在笔记上的时间减少了20.4% (8.2分钟相比10.3分钟),以及下班时间减少了30.0% (35.4分钟相比50.6分钟).
- 同一天的预约结束增加了9.3% (72.4%对66.2%).
- 临床医生报告了对患者参与和文档负担的更有利的看法,该工具展示了易用性 (SUS分数).
结论:
- 环境写字技术提高了门诊临床文档的效率,并减少了临床医生的负担.
- 这项技术可能会改善临床医生与患者在预约期间的互动.
- 建议在不同的环境和患者视角进行进一步的研究,以充分了解其对门诊护理的影响.
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