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Updated: May 9, 2025

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探索电子健康记录实施对加拿大大型社区医院临床计划的用户体验的影响:一项定性研究
Shipra Taneja1, Shelley Vanderhout1,2, Christine L Heidebrecht1
1Institute for Better Health, Trillium Health Partners, Mississauga, Ontario, Canada.
BMJ open
|April 30, 2025
概括
实施Epic电子健康记录 (EHR) 对医院的工作流程和患者护理的影响在临床计划中不同. 定制配置和共同设计工作流程是成功集成EHR和最大限度地减少用户摩擦的关键.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流分析分析
- 电子健康记录 (EHR) 的实施
背景情况:
- 像Epic这样的大规模电子健康记录 (EHR) 系统的实施在各种临床环境中提出了独特的挑战.
- 了解用户体验对于优化EHR集成和最大化好处至关重要.
研究的目的:
- 探索医疗保健提供者,行政人员和临床领导者在实施和使用Epic EHR系统方面的经验.
- 检查当地配置决策和功能实施如何影响加拿大医院系统内的工作流程.
主要方法:
- 定性描述方法. 定性描述方法.
- 与来自七个临床计划的66名参与者进行半结构面试.
- 对面试数据进行主题分析.
主要成果:
- 史诗的实施影响了沟通,团队合作,工作流程,效率和患者护理,在各个项目之间存在差异.
- 积极影响包括改善住院护理,安全,沟通和效率.
- 挑战包括信息过载,办公任务增加,与外部合作伙伴联系的困难以及用户界面的复杂性,特别是在门诊环境中.
结论:
- 实施EHR需要考虑不同的临床方案需求.
- 定制EHR接口和共同设计工作流集成对于无采用至关重要.
- 优化EHR使用可以促进高质量的护理,并最大限度地减少用户摩擦.
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