与临床医生的工作量和注意力转换相结合,使用EHR-Integrated Secure Messaging与临床医生的工作量和注意力转换相结合
Daphne Lew1,2, Laura R Baratta3, Linlin Xia4
1Center for Biostatistics and Data Science, Washington University School of Medicine, St. Louis, MO, USA.
Journal of general internal medicine
|March 14, 2025
概括
在临床医生中增加安全消息的使用与更多的电子健康记录 (EHR) 时间和频繁的患者注意力转换有关. 这表明,由于安全的消息传递平台,临床医生的工作量和认知负担可能会增加.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流的优化 临床工作流优化
- 人与计算机在医疗保健中的互动
背景情况:
- 通过安全消息传递的临床医生之间的沟通迅速增加.
- 了解这些工具对临床实践的影响至关重要.
研究的目的:
- 调查安全消息使用与电子健康记录 (EHR) 之间的关联时间.
- 检查安全消息与住院临床医生注意力转换频率之间的关系.
主要方法:
- 这是一项回顾性队列研究,涉及14家医院的3996名临床医生.
- 每天测量安全消息量 (史诗安全聊天) 和EHR时间.
- 用线性混合效应模型分析了患者切换频率,并对共变量进行了调整.
主要成果:
- 更高的安全消息传输量与更长的EHR时间 (25.5分钟) 和更多的患者切换器 (18.1) 相相关.
- 该研究包括超过10万个临床工作日和数百万条安全消息.
- 这些发现具有统计学意义 (p < 0.001).
结论:
- 使用安全消息与增加EHR时间和注意力转换有关.
- 这些发现表明,安全消息可能有助于临床医生的工作量和认知负担.
- 对优化通信工具的进一步研究是有必要的.
相关概念视频
Methods of Documentation VII: EMR
821
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
821
SBAR I: Understanding the Concept
4.3K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
4.3K
Guidelines and Strategies for Safe Computer Charting
768
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
768
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K


