评估麻醉学员使用从电子健康记录中获得的绩效指标:纵向队列分析
Razvan Bologheanu1,2, Robert Greif3,4, Alessa Stria5
1Medical University of Vienna, Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Clinical Division of General Anaesthesia and Intensive Care Medicine, Waehringer Guertel 18-20, Vienna, 1090, Austria. razvan.bologheanu@meduniwien.ac.at.
BMC medical education
|April 30, 2025
概括
麻醉住院医生的培训水平与来自电子记录的患者护理质量指标相关. 绩效数据可以帮助追踪居民的进步,尽管考试结果显示影响很小.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 医疗信息学 医疗信息学
背景情况:
- 传统的麻醉住院医生的能力评估包括直接观察和检查.
- 来自电子麻醉记录的客观数据,用于评估住院人员的进展,尚未得到充分探索.
研究的目的:
- 调查电子麻醉记录中的性能指标与麻醉住院医生的培训进展之间的关联.
- 确定这些指标是否与欧洲书面考试的时间和结果相关.
主要方法:
- 来自维也纳大学医院的46个提供者的电子麻醉记录的回顾性审查 (2013-2021).
- 六个性能指标的推导:低血压,低体温,血糖控制,恶心/吐预防,肺保护性通风和损伤.
- 统计分析表现指标,培训水平和考试成绩之间的关联,调整为患者和外科因素.
主要成果:
- 较高的训练水平与降低血压,低温的预防增加相关,以及改善恶心/吐预防.
- 增加的训练水平与急性损伤的预防降低和减少使用肺保护性通风相关.
- 检查完成显示了温和的关联:增加了肺保护性通风的几率和减少了预防低血压的几率;血糖控制没有关联.
结论:
- 麻醉住院员培训水平与几个患者护理绩效指标有显著的关联.
- 从电子记录中获得的绩效指标可能作为追踪居民进步的客观工具.
- 通过书面考试对观察到的绩效指标的影响有限.
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