定制辅导对医生的电子健康记录能力和用户体验的影响:一个随机交叉研究
Saif Khairat1,2, Prabal Chourasia1, Elizabeth Kwong1
1Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Mayo Clinic proceedings. Digital health
|April 10, 2025
概括
量身定制的电子健康记录 (EHR) 辅导提高了儿科医生的能力和用户体验. 审计日志数据为个性化会议提供了信息,提高了EHR的效率和提供者的福祉.
科学领域:
- 医疗信息学 医疗信息学
- 健康 专业 教育 卫生 专业 教育
- 提高质量 提高质量
背景情况:
- 医生对电子健康记录 (EHR) 的熟练程度和用户经验对医疗保健提供有重大影响.
- 优化EHR使用对于提供者福祉和高效的临床工作流程至关重要.
研究的目的:
- 以审计日志数据为指导,评估定制的EHR辅导干预对儿科医生的EHR熟练程度和用户经验的影响.
- 探索个性化指导在提高电子病历可用性和减少医生工作量方面的有效性.
主要方法:
- 一项为期12个月的随机交叉质量改善研究,涉及34名儿科医生.
- 干预包括一个单独的1小时,一对一的辅导课程,使用EHR审计日志数据进行个性化.
- 在干预之前和之后分析了EHR审计日志数据,以衡量熟练度和用户体验.
主要成果:
- 一组的EHR水平提高了8.9%,而另一组的EHR水平显著增加了11.2% (P=0.05).
- 经过教练后,感知到的EHR工作量下降了 (P=0.06),感知到的EHR可用性得到了改善 (P=0.1).
- 该干预措施是根据经过认证的儿科医生使用Epic审计日志数据量身定制的.
结论:
- 电子健康记录审计日志数据有效地为个性化指导策略提供信息,以提高医生的电子健康记录能力和用户体验.
- 量身定制的辅导干预可以提高医生对EHR效率工具的认识.
- 这些发现支持学习健康系统,旨在优化对提供者福祉的电子健康记录的使用.
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