在ED拥堵下获取患者的电子病历信息 - - 经验调查
Ofir Ben-Assuli1, David Gefen2, Noam Shamir3
1Faculty of Business Administration, Ono Academic College, Kiryat Ono, Israel.
Health systems (Basingstoke, England)
|August 21, 2025
概括
在急诊室拥堵时,医生更依赖电子健康记录 (EHR),而不是医疗检查. 这种由工作量驱动的转变表明,电子健康记录通过减少检查而间接提高了护理质量,而不会增加患者的再访.
科学领域:
- 医疗服务研究
- 临床信息学
- 医疗保健管理
背景情况:
- 在高拥堵期间,急诊室面临管理患者信息的挑战.
- 医生使用两个主要的信息道:电子健康记录 (EHR) 查看病史,实时医疗测试查看当前状态.
- 电子健康记录可以快速获取历史数据,而医疗检查则提供最新但耗时的信息.
研究的目的:
- 分析急诊室 (ED) 的拥堵如何影响医生的信息获取策略.
- 调查电子健康记录 (EHR) 使用与不同工作负载条件下的医疗测试使用之间的相互作用.
- 评估EHR投资对ED医疗保健质量和运营效率的影响.
主要方法:
- 一个大数据集的分析,包括超过140万次急诊室 (ED) 访问.
- 在不同程度的ED拥堵期间,检查医生关于信息收集的决策 (EHR与医学测试).
- 统计相关性分析以确定信息道和拥堵水平之间的关系.
主要成果:
- 在低拥堵的情况下,电子病历信息获取和医疗测试的利用是互补的,表明了诊断的综合方法.
- 随着ED拥堵的增加,对医疗检查的依赖减少,这种趋势被电子健康记录的使用所加剧.
- 医生似乎在高拥堵期间减少了医疗检测,用EHR数据进行补偿,以管理工作量并避免延误.
结论:
- 通过在高需求时期优化信息收集,增加电子健康记录 (EHR) 的采用可以间接提高医疗服务质量.
- 对电子病历系统的投资可能会减少某些医疗检测的使用,例如血液检测,但不会对患者的结果或复诊率产生负面影响.
- 对于医疗管理人员来说,了解拥挤ED的信息获取动态至关重要,旨在提高效率和患者护理质量.
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