通过多方面的捆绑干预来改善电子健康记录中的医生收件箱管理
Abdul Waheed1,2, Mudasir Umer3,4, Anousheh Paracha3
1Department of Family Medicine, Dignity Health Medical Group, Phoenix, AZ.
概括
改善电子健康记录 (EHR) 收件箱管理至关重要. 一项质量改善计划显著减少了开放的患者接触和拖欠的电子健康记录任务,提高了护理质量和效率.
科学领域:
- 医疗信息学 医疗信息学
- 提高质量 提高科学 提高质量
- 医疗保健管理的管理
背景情况:
- 电子健康记录 (EHR) 收件箱的有效管理对于患者护理质量和运营效率至关重要.
- 违规的EHR任务会对患者的治疗结果,医疗费用以及患者和提供者的体验产生负面影响.
- 解决EHR收件箱积压问题是现代医疗保健系统面临的重大挑战.
研究的目的:
- 实施和评估一项旨在提高电子健康登录箱条款管理质量改善的质量改善倡议.
- 减少EHR系统中未开放的患者接触和违规任务的数量.
- 评估捆绑干预对EHR收件箱效率的影响及其对四重目标的潜在贡献.
主要方法:
- 采用了具有中断时间序列分析的准实验性设计.
- 利益相关者参与,根源分析和政策制定为干预提供了信息.
- 一个捆绑的干预包括政策制定,资源开发和正义文化方法来管理收件箱违规行为,利用情况-行为-影响标题和辅导激励面试.
主要成果:
- 每周开放性接触的平均数量显著下降,从干预前的71次减少到干预后的12.2次.
- 统计过程控制图表表明,干预后的EHR收件箱管理发生了显著的转变.
- 波松回归分析显示,在捆绑干预后,违约的EHR项目减少了78% (P < 0.001).
结论:
- 一个多方面的质量改进干预措施有效地改善了EHR收件箱管理.
- 实施的策略导致公开遭遇和拖欠任务的数量大幅减少.
- 这种改善EHR工作流程有可能对医疗保健的四重目标产生积极影响.
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