特别主题 倦怠:通过电子健康记录文件效率工具改善护士记录时间
John Will1, Deborah Jacques1, Denise Dauterman1
1MCIT Department of Health Informatics, NYU Langone Health, New York, United States.
Applied clinical informatics
|April 11, 2025
概括
流表宏显著减少了护士在电子健康记录 (EHR) 和文档活动中的时间. 然而,节省时间在各部门各不相同,这表明某些患者群体的潜在限制.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 护理文档负担是美国医疗保健系统的一个重大问题.
- 电子健康记录 (EHR) 文档有助于这种感知负担.
- 流表宏是旨在减轻文档工作负载的效率工具.
研究的目的:
- 评估流表宏对减少护理人员在文档和EHR上花费的时间的影响.
- 为了确定单击文档工具是否可以提高效率.
主要方法:
- 鼓励护士在EHR中使用流表宏.
- 对护士轮班的数据,提取了流表记录时间和整体系统时间的数据.
- 线性回归分析被用来评估宏观利用率与时间消耗之间的关系.
主要成果:
- 流表宏观使用与花在流表中的时间有显著的负相关性 (AOR = -0.291,p < 0.001).
- 流表宏观使用与整体EHR时间也有显著的负相关性 (AOR = -0.269,p < 0.001).
- 在医疗外科,重症监护和产科部门观察到时间节约,但在急诊或康复部门没有.
结论:
- 流表宏的使用与护士在流表和EHR中花费的时间减少有关.
- 流表宏的有效性和时间节省因部门而异,这表明在某些设置中应用性有限.
- 需要进一步的研究,以探索这些节省时间是否转化为减少护士文档负担.
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