调查信息可视化,以打击电子健康记录中的信息过载:随机对照试验的协议.
Saif Khairat1,2,3, Jennifer Morelli2, Marcella H Boynton4
1Carolina Health Informatics Program, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
JMIR research protocols
|September 9, 2025
概括
这项研究评估了AWARE仪表板,以减少重症监护室 (ICU) 提供者使用电子健康记录 (EHR) 的认知疲劳. 调查结果将指导EHR设计,以提高性能和患者安全.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 临床研究 临床研究
背景情况:
- 电子健康记录 (EHR) 导致医疗保健提供者信息过载和认知疲劳,可能导致错误和延迟护理.
- 重症监护病房 (ICU) 面临着独特的挑战,原因是EHR中患者数据的数量和复杂性很大.
- 医疗保健提供者的认知疲劳是一个重大问题,影响决策和患者安全.
研究的目的:
- 研究信息可视化仪表板 (AWARE) 对ICU提供者所经历的认知疲劳的影响.
- 在一项随机对照试验中,将AWARE EHR系统的可用性和有效性与两个领先的标准EHR进行比较.
- 评估如何增强的EHR接口可以减轻认知疲劳和改善临床决策在重症监护环境.
主要方法:
- 一个交叉随机试验,涉及120个ICU提供者在4个主要的美国医疗中心.
- 利用眼睛跟踪设备客观地测量认知疲劳,并通过验证的调查收集有关性能和可用性的数据.
- 对比参与者使用他们的机构电子健康记录 (控制) 与AWARE电子健康记录 (干预),随机分配到使用顺序.
主要成果:
- 数据收集工作即将完成,120个计划中的113个会议在4个研究地点中的3个完成.
- 目前正在进行初步分析,预计结果将于2025年底发布.
- 该研究正准备好提供有关电子病历可用性及其对提供者疲劳和绩效的影响的见解.
结论:
- 该研究旨在为设计更为用户友好的EHR接口提供信息,以提高提供商的性能.
- 预计EHR可用性方面的改进将简化护理提供,并加强患者安全.
- 这些发现将有助于减少重症监护专业人员的认知负载和倦怠.
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