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人为因素和系统模拟方法,以优化经营期间的EHR设计和实施
Mirette Dubé1,2, Jonathan D Hron3,4, Susan Biesbroek5
1Healthcare Systems Simulation International Inc, 51 GlenEagles Terrace, Cochrane, AB, T4C 1W4, Canada. Mirette@HealthcareSSI.com.
Advances in simulation (London, England)
|April 24, 2025
概括
使用模拟和人为因素方法对新的电子健康记录 (EHR) 进行主动测试,在实施之前确定了关键问题. 这提高了儿童医院环境中的EHR安全性,效率和可用性.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 人类因素工程 人类因素工程
- 患者安全 患者安全
背景情况:
- 采用电子健康记录 (EHR) 带来了挑战,包括潜在的安全威胁和效率低下,如果不与临床工作流程保持一致.
- 在儿科医院过渡到新的EHR系统时,需要采取积极的方法来确保系统的准备.
研究的目的:
- 在正式推出之前,使用模拟和人为因素方法主动测试新的EHR系统.
- 为了提高EHR的安全性,效率和可用性,在外科儿科设置中.
主要方法:
- 一项从2023年9月到2024年4月在儿童医院进行的质量改进研究.
- 通过Zoom进行了两轮可用性测试,并与跨专业的周围操作团队进行了现场模拟.
- 将人为因素和患者安全原则纳入基于定性数据的建议.
主要成果:
- 总共产生了475条建议,以优化EHR的安全性,效率和可用性.
- 确定了可用性和系统问题,包括影响患者护理的潜在安全威胁.
- 在EHR上线日期之前,已经发现并减轻了关键的可用性问题.
结论:
- 积极的可用性测试和模拟对于识别和减轻与新EHR实施相关的风险至关重要.
- 整合人为因素原则可以显著提高电子健康记录安全性,效率和用户体验.
- 早期识别和解决EHR问题对于确保儿科环境中安全和高质量的患者护理至关重要.
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