当代的"篮子":一场未经检查的行政期望爆炸
Sean P Ryan1, Andrew M Schwartz1, William A Jiranek1
1Division of Adult Reconstruction, Department of Orthopaedic Surgery, Duke Health, Durham, North Carolina.
The Journal of arthroplasty
|June 26, 2025
概括
对于部和膝关节关节整形术患者的电子篮子信息急剧增加,从2017年到2024年增加了13倍. 这种快速增长给外科手术实践带来了巨大的未解决的行政负担.
科学领域:
- 整形外科手术 整形外科手术
- 医疗信息学 医疗信息学
- 医疗保健管理部门的管理.
背景情况:
- 电子患者消息系统,通常称为"篮子",在医疗保健中越来越多地使用.
- 消息量显著增加,为医务人员创造了大量的,往往没有补偿的,行政工作负载.
- 对像部和膝关节关节整形术这样的大量手术专业的具体影响没有得到充分的证据.
研究的目的:
- 为了量化部和膝盖关节整形手术组内的电子篮子消息的数量.
- 分析一段时间内消息量与外科病例量之间的趋势.
- 突出升级数字患者沟通的行政影响.
主要方法:
- 追溯分析2017年至2024年的电子篮子消息.
- 计算在整体关节关节整形师内的所有消息和回复.
- 与执行的部和膝关节关节整形手术数量相关联的消息量.
主要成果:
- 篮子中的消息从2017年的7,783个增加到2024年的105,348个,是13倍的升级.
- 手术病例数量几乎翻了一番,而消息量则不成比例地增长.
- 一小部分患者 (20%) 产生了大部分 (59.2%) 的所有信息.
结论:
- 在关节整形外科手术中,篮子内信息的指数增长是一个具有重大影响的新发现.
- 这一趋势意味着临床医生的工作量增加得不可持续,没有明确的行政监督或补偿.
- 迫切需要考虑技术解决方案和专门的人员来管理这种日益增长的义务.
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