开发和评估临床资产的场外存储库,在EHR停机期间为订单集访问提供弹性解决方案
Stephon Proctor1,2, Bimal Desai1,2
1Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States.
Applied clinical informatics
|May 26, 2025
概括
临床决策支持系统 (CDSS) 停机影响96%的医疗机构. 临床资产外站存储库 (ORCA) 提供了一种弹性解决方案,用于在故障期间访问电子健康记录订单集.
科学领域:
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
- 医疗保健系统弹性 医疗保健系统的弹性
背景情况:
- 临床决策支持系统 (CDSS) 对现代医疗保健至关重要.
- 系统停机影响96%的医疗保健机构,损害了CDSS的有效性.
- 传统的停机解决方案,如纸质协议,往往是不切实际的.
研究的目的:
- 引入和评估临床资产外站存储库 (ORCA) 作为一个弹性基于网络的解决方案.
- 评估ORCA的可用性和有效性,以维持在系统故障期间访问电子健康记录 (EHR) 的订单集.
- 为了确定实施挑战和用户反,为未来的弹性CDSS开发.
主要方法:
- ORCA是基于对过去停机事件的分析而开发的,复制了基本的订单集功能.
- 用性测试与来自不同专业的16名临床医生进行.
- 用户反采集使用用户体验 (UMUX) 可用性指标问卷和主题分析.
主要成果:
- ORCA表现出强大的可用性,平均UMUX得分为86.2.2.
- 主题分析确定了实施挑战,包括系统限制,工作流集成和界面导航.
- 用户欣赏ORCA熟悉的界面和场外可访问性,但注意到动态决策支持的局限性.
结论:
- 在停机期间,ORCA是维持基本临床决策支持 (CDS) 的可行方法.
- 在复制动态CDS功能和与现有的停机时间程序集成方面仍然存在重大挑战.
- 研究结果强调了需要有弹性的CDSS和在临床系统中计划的备用途径.
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