电子医疗记录中的工作流修改对纽约市视力障碍患者的第三级服务推的影响
Olivia S Allen1, Lindsey S Fields1, Maura J Sweeney2
1Albert Einstein College of Medicine, Bronx, NY, USA.
Clinical ophthalmology (Auckland, N.Z.)
|October 13, 2025
概括
实施电子医疗记录 (EMR) 系统显著提高了对视力低下服务的转诊率. 该系统改善了访问,但老年患者在安排预约时面临更多障碍.
科学领域:
- 眼科医生 眼科 眼科
- 医疗信息学 医疗信息学
- 公共卫生 公共卫生
背景情况:
- 低视力服务对于视力障碍患者至关重要.
- 需要有效的转诊系统来将患者与专业护理联系起来.
- 整合电子病历 (EMR) 可以简化医疗保健流程.
研究的目的:
- 描述对EMR系统进行的修改,以方便转介到低视力服务.
- 分析这些EMR变化对转诊量的影响.
- 通过分析调度率,识别低视力服务评估的障碍.
主要方法:
- 对2015年至2023年的转诊数据进行了回顾性分析.
- 使用EMR (史诗系统) 修改和最佳实践咨询 (BPA) 工具.
- 对比转诊患者的人口统计数据和调度率.
主要成果:
- 在初始EMR实施后,对灯塔协会 (LHG) 的推增加了220%.
- 在EMR中设置视觉状态标志导致推人数同比增长65%.
- BPA和区域扩张使总转诊量增加了90%,但老年患者不太可能安排预约 (p=0.0090).
结论:
- 基于EMR的系统有效地改善了对低视力服务的访问.
- 工作流修改和综合护理提高了转诊效率.
- 需要有针对性的干预措施来解决老年患者的安排障碍.
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