在电子健康记录中的信息优先级和阅读模式 护理摘要:一个眼睛跟踪案例研究
Suhyun Park1, Jenna L Marquard2, Robin R Austin2
1Department of Research, Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, Texas, United States.
审查患者简报的护士专注于订单和旁边条,经常从上到下阅读信息. 重新设计护理摘要以优先考虑关键数据可以提高医疗保健专业人员的信息效率.
科学领域:
- 护理信息学 护理信息学
- 人与计算机的交互
- 医疗信息学 医疗信息学
背景情况:
- 电子健康记录 (EHR) 中的护理摘要对于患者状态指导至关重要.
- 有限的研究存在于护士在患者病例审查期间如何实际使用这些摘要.
研究的目的:
- 为了确定关键信息类型,护士在护理摘要中专注于.
- 确定频繁配对和顺序访问的信息类型.
- 用眼睛追踪分析护理摘要中的常见阅读模式.
主要方法:
- 一个案例研究使用眼睛跟踪模拟与33名医疗外科护士.
- 护士们审查了模拟病例,并记录了他们的凝视固定.
- 分析涉及离散时间马尔科夫链和顺序模式挖矿.
主要成果:
- 护士平均花费1.77分钟审查摘要,在信息转移和笔记上花费了大量时间.
- "订单"和"侧边" (人口统计/健康状况) 是主要关注的领域.
- 信息通常是双双地阅读,并按照从上到下的顺序进行阅读.
结论:
- 护士的目标是在遇到新病例时建立一个病人叙述.
- 护理摘要应该重新设计,以优先考虑关键信息,与组相关的数据对,并遵循基于相关性的自上而下的布局.
- 建议医院和EHR供应商定制护理摘要,以提高效率.
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