基于电子健康记录的新咨询工作流改善了急性环境中的手术患者的手术室时间
Micaella R Zubkov1, John Iguidbashian1, Zhixin Lun2
1Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
American journal of surgery
|May 14, 2025
概括
一个新的电子健康记录 (EHR) 工作流改善了手术咨询的效率,大大减少了创伤和急性护理手术患者的手术室 (OR) 时间. 这种增强的工作流显示出持续的好处,特别是在紧急情况下.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 优化外科手术工作流程的优化
- 提高患者护理效率 提高患者护理效率
背景情况:
- 基于电子健康记录 (EHR) 的新型工作流程被实施,以提高住院患者的外科咨询效率.
- 该工作流专门针对需要创伤或急性护理手术 (TACS) 咨询的患者.
研究的目的:
- 评估新的EHR驱动工作流对外科咨询效率的影响.
- 评估在实施后的护理和手术室 (OR) 访问的及时性变化.
主要方法:
- 电子健康记录工作流程自动化通知,患者信息共享和数据跟踪.
- 在实施前,实施后早期和实施后晚期的队列中比较了护理的及时性.
主要成果:
- 从咨询到OR的总体时间在实施后减少了27% (726分钟到532分钟).
- 对于紧急/紧急情况,OR的时间减少了48% (531分钟到277分钟).
- 停留时间在实施后减少,对30天的临床结果没有不良影响.
结论:
- 新的EHR咨询工作流程是安全有效的.
- 工作流显著减少了OR的时间,并观察到持续的改善.
- 紧急/紧急的外科病例从新的工作流中获得了最大的好处.
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