使用电子医疗记录来识别住院学习者体验的变化
Tingrui Zhao1, Nadia Pasha1, Poonam Sharma1
1Department of Medicine Duke University School of Medicine.
The Brown journal of hospital medicine
|March 6, 2025
概括
COVID-19显著改变了住院医疗人员的住院诊断,减少了肺部病例和增加了物质使用遭遇. 电子医疗记录 (EMR) 可以在健康危机期间跟踪这些不断变化的学习体验.
科学领域:
- 医学教育 医学教育
- 住院护理 住院护理 住院护理
- 流行病学 流行病学
背景情况:
- COVID-19 严重扰乱了标准的住院医疗保健服务.
- 虽然诊断患病率的变化得到了记录,但对医学学习者暴露的影响仍未得到充分研究.
- 电子医疗记录 (EMR) 提供了一个潜在的工具来监测这些不断变化的学习者体验.
研究的目的:
- 调查COVID-19对内科住院医生所遇到的住院诊断分布的影响.
- 评估电子医疗记录 (EMR) 在跟踪学习者临床暴露变化的有用性.
主要方法:
- 一项回顾性分析比较了2019年4月至7月和2020年4月至7月期间在住院内科服务中最常见的20种诊断.
- 数据是从Epic EMR中提取出来的,并使用基平方测试与邦费罗尼校正进行分析.
- 还与非教学服务进行了比较,以区分疾病流行率和服务分配效应.
主要成果:
- 居民教学服务的肺病例显著下降 (13%至2%),COPD恶化和肺炎从前20项诊断中下降.
- 肺部病例在非教学服务中仍然普遍存在,这表明服务分配,而不仅仅是患病率,影响了居民暴露.
- 无论是教学还是非教学服务,物质使用中毒病例显著增加,与国家趋势保持一致.
结论:
- 电磁磁记录数据可以快速识别住院医生所遇到的常见诊断的变化.
- 这种方法为监测住院临床学习环境在发生重大变化期间提供了一种有价值的方法.
- 这些发现强调了在评估学习者在公共卫生紧急情况期间接触诊断时需要考虑特定服务任务的必要性.
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