电磁磁记录的可用性和患者安全:对医生的全国调查
David Schwappach1, Wolf Hautz2, Gert Krummrey3
1Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland. David.Schwappach@unibe.ch.
许多医生发现电子病历 (EMR) 的效率低下,并没有提高患者的安全性. 关键的可用性问题包括缓慢的响应时间和过度的警报,强调需要更好的数字健康工具.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 医疗系统工程 医学系统工程
背景情况:
- 电子医疗记录 (EMR) 已被广泛采用,但面临着持续的可用性挑战.
- 有关EMR可用性对患者安全和医疗保健效率的影响存在担忧.
研究的目的:
- 评估医生对EMR可用性在安全相关领域的看法.
- 确定影响可用性和患者安全的特定EMR特征.
主要方法:
- 1933年,来自不同医疗机构的医生进行了一项全国性的横截面调查.
- 多级建模和正规差分分析,以评估可用性差异和关键特征.
主要成果:
- 56%的医生报告EMRs没有提高患者安全;50%的人认为它们是低效的.
- 平均可用性评分为最高得分的52%.
- 关键的可用性问题包括系统响应时间,过度的警报,数据输入错误和协作支持.
结论:
- 目前的EMR系统存在实质性的限制,影响了可用性和患者安全.
- 对比性可用性评估对于改善数字卫生基础设施至关重要.
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