在实践中使用智能自动化应用程序转变晚期病患者的家庭透析管理
Ziad M Zoghby1, Andrea G Kattah1, Kelsey Havlovic2
1Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings. Digital health
|April 10, 2025
概括
梅奥诊所开发了两个电子健康记录 (EHR) 应用程序,以简化家庭透析管理. 这些工具提高了员工的效率,并加强了该计划内的患者护理服务.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗信息学 医疗信息学
- 数字健康解决方案 数字健康解决方案
背景情况:
- 家庭透析计划需要有效的管理系统来管理患者护理和工作人员的工作流程.
- 电子健康记录 (EHR) 提供了一个开发综合解决方案以改善医疗保健流程的平台.
- 梅奥诊所的队列知识智能解决方案 (CKIS) 团队专注于基于EHR的患者管理工具.
研究的目的:
- 设计,开发和部署基于EHR的应用程序,用于管理梅奥诊所的家庭透析计划.
- 提高临床工作人员在家庭透析护理中的效率.
- 通过改进计划管理,确保提供高质量的临床护理.
主要方法:
- 在临床科和CKIS团队之间使用敏捷方法进行合作开发.
- 在16个月内 (2019年9月 - 2020年12月) 重复设计和部署两个EHR应用程序.
- 在EHR中利用了Epic健康星球模块用于应用程序开发.
- 在实施前和实施后使用护理效率评估工具 (NEAT) 评估节省时间.
主要成果:
- 两种EHR应用程序已成功开发,用于家庭透析转诊/注册和患者监测.
- 应用程序整合了患者信息,为个人和人口管理提供实时数据.
- 对透析护士来说,观察到显著的时间节省,平均每8小时班25分钟和20.4分钟.
结论:
- 开发的EHR应用程序是管理家庭透析计划的有效工具.
- 实施导致提高效率和改善家庭透析的护理服务.
- 这些数字解决方案支持质量指标报告和程序可扩展性.
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