VA的EHR过渡和健康专业实习生计划:多利益相关者学习社区的发现和影响
Julian Brunner1, Ellen A Ahlness2, Ekaterina Anderson3,4
1Center for the Study of Healthcare Innovation Implementation & Policy, VA Greater Los Angeles Health Care Los Angeles California USA.
Learning health systems
|April 18, 2025
概括
美国退伍军人协会 (VA)
科学领域:
- 医疗信息学 医疗信息学
- 医学教育 医学教育
- 医疗保健管理部门的管理.
背景情况:
- 退伍军人事务部 (VA) 正在实施大规模的电子健康记录 (EHR) 系统过渡.
- 卫生专业实习生 (HPT) 受到EHR转型的重大影响,但他们的经验往往被低估.
- 成立了一个多利益相关者学习社区,以应对HPT在EHR过渡期间面临的挑战.
研究的目的:
- 调查HPT在VA的EHR过渡期间遇到的具体挑战.
- 为应对这些挑战而制定的有效实践和政策的识别和描述.
- 为未来涉及学员的EHR实施提供见解.
主要方法:
- 这是一项定性研究,涉及51次与HPT,项目领导人和教师的采访.
- 采访是在EHR上线前和之后 (2022年2月 - 2023年4月) 进行的.
- 对面试成绩单和125份调查自由文本答复进行了主题分析.
主要成果:
- 出现了六个关键主题,包括最初的EHR访问延迟,持续的培训和支持挑战,以及快速发展的EHR的影响.
- 尽管面临挑战,HPT程序保持了高满意度,有些人发现以前的EHR缺乏经验有助于新系统的熟练.
- 当地和国家举措有助于缓解培训和支持问题,并随着时间的推移改善了EHR访问.
结论:
- 对于VA的HPT计划来说,EHR过渡带来了独特的挑战.
- 学习社区的努力导致建立了一个国家HPT委员会,并加强了EHR培训和访问.
- 解决实习生需求对于在医疗保健环境中成功过渡到EHR至关重要.
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