弹性电子健康记录:应用人工智能到电子健康记录维护,配置和使用的五层框架
Colby Uptegraft1, Kameron Collin Black2, Jonathan Gale3
1Technology Management & Integration Branch, Health Informatics Division, Defense Health Agency, Falls Church, VA, United States.
JMIR AI
|July 3, 2025
概括
人工智能 (AI) 可以通过五层"弹性EHR"模型优化电子健康记录 (EHR),降低成本并改善用户体验. 这种方法解决了EHR的低效性,并提高了医疗保健的提供.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健中的人工智能
- 电子健康记录系统 电子健康记录系统
背景情况:
- 与其他数字化行业相比,现代电子健康记录 (EHR) 提出了配置挑战,阻碍了效率和节省成本的潜力.
- 当前的人工智能解决方案,如面向用户的副驾驶员,受到底层EHR配置的限制,导致效率低下和高维护成本.
研究的目的:
- 为主动EHR优化提出一个新的"弹性EHR"概念.
- 引入一个五层模型,用于结构化的AI集成到EHR系统中.
- 为了降低EHR治理成本,增强用户体验,减轻常见的挫折感.
主要方法:
- 人工智能集成的五层框架:自主数据库重新配置,客户端驱动的性能塑造,选择架构优化,内容货币维护和上下文依赖的人工智能副驾驶员.
- 专注于主动建议和验证EHR内容和配置更改.
- 分析用户行为,以尽量减少点击和按键,以提高工作流的效率.
主要成果:
- 拟议的弹性EHR模型旨在显著降低治理成本并改善用户体验.
- 有可能降低文档负担,警报疲劳和系统响应性问题.
- 确保EHR仍然基于证据,并符合不断变化的临床指南.
结论:
- 弹性EHR模型为AI集成提供了一个结构化的方法,用于优化EHR系统.
- 克服诸如供应商市场主导地位和适应性AI系统的需求等局限性对于广泛采用至关重要.
- 支持人工智能的EHR有潜力充分实现医疗数字化的好处,提高护理的效率和质量.
相关概念视频
Health Information Technology and Healthcare Information System
936
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
936
Issues And Trends In Healthcare Delivery System
5.9K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.9K
Methods of Documentation VII: EMR
921
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
921
Guidelines and Strategies for Safe Computer Charting
884
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
884
Methods of Documentation III: PIE
1.5K
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
1.5K
Nursing Clinical Information System
876
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
876


