超级用户报告了协调主动整合使用虚拟医疗资源的最佳实践:前性并发混合方法以人为本的设计研究研究
Jolie N Haun1,2, Rachel C Benzinger1, Julie McMahon-Grenz1
1Research and Development Service, James A Haley Veterans' Hospital, Tampa, FL, United States.
虚拟健康资源 (VHR) 的超级用户将VHR整合到临床工作流程中,建立了57个最佳实践. 这些发现为改善医疗保健提供提供了VHR最佳实践和撤销实施策略的信息.
科学领域:
- 医疗信息学 医疗信息学
- 临床工作流的优化 临床工作流优化
- 虚拟健康系统 虚拟健康系统
背景情况:
- 积极的综合虚拟健康资源 (VHR) 使用涉及自主发起,协调使用虚拟系统,及时提供高质量的医疗保健.
- 超级用户是临床团队成员,被公认为积极主动的VHR用户,他们协调护理并倡导资源采用.
- 之前的研究还没有探索超级用户在医疗连续性或特定临床工作流程中的集成VHR使用.
研究的目的:
- 描述VHR超级用户的活动和结果.
- 记录超级用户实践,以识别和传播VHR使用的最佳实践.
主要方法:
- 一个前性的,并发的,混合方法设计,包括定性采访和以人为中心的设计.
- 在退伍军人事务部医院的5个专业服务中,有目的的抽样招募15名超级用户.
- 通过定制脚本和调查收集数据,并使用快速代内容分析和数据三角化进行分析.
主要成果:
- 在11个任务类别和43个子类别中确定了57个最佳实践 (48个数据衍生,9个确立),利用60个VHR.
- 最常用的VHR包括计算机化患者记录系统,安全消息,电话,VA视频连接和微软团队.
- 在患者生成的健康数据 (15) 和患者和工作人员的预约管理/技术访问 (13) 中出现了关键的最佳实践.
结论:
- 超级用户实践说明了VHR在服务特定工作流程中的整合,并跨越了服务特定的工作流程,为VHR在整个护理连续使用的最佳实践提供了信息.
- 这些发现虽然针对5个服务而言,但为更广泛的应用提供了可转移的实践,并为实施策略提供了信息.
- 结果为培训,教育和传播最佳实践提供了基础,以培养退伍军人卫生管理局内的VHR超级用户文化.
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