令人惊的是有帮助:引入门户实践插槽来解决篮子爆炸问题
Jennifer Reilly Lukela1, James Henderson2, Audrey Fan2
1Department of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA. jlreilly@med.umich.edu.
Journal of general internal medicine
|May 29, 2025
概括
电子健康记录 (EHR) 的结构化时间在篮子中的任务改善了医生在工作时间的幸福感和任务完成. 这一举措,即门户实践插槽 (PPS),有助于减少压倒性的感觉,尽管它并没有减少开班后的EHR工作.
科学领域:
- 医疗信息学 医疗信息学
- 医学教育 医学教育
- 医生福利 医生福利
背景情况:
- 越来越多的电子健康记录 (EHR) 在篮子中的数量压迫医生.
- 缺乏为异步护理提供专用的时间会影响医生的工作量.
- 当前的工作流程无法充分满足日益增长的电子健康记录 (EHR) 需求.
研究的目的:
- 通过减少工作时间以外的EHR时间来提高医生福祉.
- 在工作日内实施结构化的时间来管理篮子中的工作量.
- 评估专用时间段对医生工作量和工作与生活平衡的影响.
主要方法:
- 一个学术卫生系统实施了20分钟的休息时间.
- 门户实践老虎机老虎机实践
- (PPS) 每个半天的临床会议.
- 一般医学和儿科医学的医生参与了.
- 调查评估了医生对干预后工作量和工作与生活平衡的看法.
主要成果:
- 大多数医生报告说,在工作时间内改善了篮子中的任务完成率.
- 在开班后的EHR工作 ("睡衣时间") 中没有观察到显著变化.
- 没有注意到患者访问,访问时间或相对值单位 (RVU) 的显著变化.
结论:
- 门户实践插槽 (PPS) 有效地提高了医生在工作日期间管理异步护理任务的能力.
- PPS有助于减轻与篮子内工作相关的压倒感.
- 虽然PPS并没有减少EHR的超时工作,但它对医生的幸福感和及时完成任务产生了积极的影响.
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