在美国大型医疗保健系统中,对话式多任务处理和临床医生工作行为之间的关联:队列研究
Linlin Xia1, Daphne Lew1, Laura Baratta1
1Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8054, St Louis, MO, United States, 1 3142737801.
Journal of medical Internet research
|September 9, 2025
概括
参与多个安全消息对话可以增加临床医生的电子健康记录 (EHR) 时间和患者病历开关. 这种对话式的多任务处理可能会增加临床医生的工作量和认知负担.
科学领域:
- 医疗信息学 医疗信息学
- 临床通信系统 临床通信系统
- 医疗保健工作流程优化工作流程优化
背景情况:
- 安全的消息传递对于高效,安全的患者护理至关重要.
- 它的使用急剧增加,可能会影响临床医生的工作量和认知负载.
- 了解这些影响对于优化临床工作流程至关重要.
研究的目的:
- 检查安全消息中的对话式多任务处理与临床医生的工作量之间的联系.
- 评估并发安全消息对话与电子健康记录 (EHR) 时间和患者病历切换之间的关系.
主要方法:
- 一个观察性队列研究医生和先进的实践提供者在住院环境.
- 作为主要暴露,测量了最大的并发安全消息对话.
- 通过使用线性混合效应模型,评估了EHR时间和患者图表切换作为共同初级结果.
主要成果:
- 增加的并发安全消息对话与更长的EHR时间和更多的患者图表切换相关.
- 参与4+次并发对话的临床医生在电子病历上花费了54.8分钟的时间,并进行了41.6次额外的患者切换.
- 实习生在EHR时间和患者切换方面经历了最显著的增长.
结论:
- 在安全消息传递中,对话式多任务处理与剂量依赖的增加EHR时间和患者切换有关.
- 研究结果表明,多任务处理和临床医生的工作量增加和认知负担之间存在联系.
- 需要制定指导方针和干预措施,以有效管理安全消息使用.
相关概念视频
Methods of Documentation VI: Case Management Model
864
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
864
Interdisciplinary Care: The Health Care Team-II
2.2K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.2K
Interdisciplinary Care: The Health Care Team-I
2.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.5K
Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
Longitudinal Studies
481
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
481
Methods of Documentation II: POMR
1.4K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.4K


