在电子健康记录中实施结构化头癌护理途径:代过程和对数据质量的影响
Dominique V C de Jel1, J Willemijn van Koevorden1,2, Melanie Singer3
1Department of Head and Neck Surgery, Antoni van Leeuwenhoek-Netherlands Cancer Institute, Amsterdam, The Netherlands.
实施头癌 (HNC) 结构化护理途径可以提高健康数据的质量和数量. 这有助于实时评估护理质量,并简化患者治疗过程.
科学领域:
- 医疗信息学 医疗信息学
- 在瘤学瘤学.
- 医疗保健管理的管理
背景情况:
- 数字健康数据增强了初级保健和医疗保健提供评估.
- 对于二次用途的数据预处理,特别是复杂治疗的头癌 (HNC),仍然是昂贵和耗时的.
- 结构化护理途径为改善数据数量和质量提供了潜在的解决方案.
研究的目的:
- 评估实施结构化护理途径对头癌 (HNC) 护理数据数量和质量的影响.
- 用仪表板和指标评估实时护理质量评估的可行性.
- 识别数据登记和解释中的障碍和促进者.
主要方法:
- 混合方法研究涉及对障碍物的定性评估,一个潜在的试点 (n=41) 与手动和半自动数据记录,以及仪表板评估.
- 实施一个结构化的HNC护理路径.
- 分析数据的完整性,正确性,注册时间和遵守路径时间点.
主要成果:
- 在路径实施期间,数据的完整性和正确性平均为84.8%和88.4%.
- 每位患者的注册时间减少了3.7分钟.
- 87.8%的患者遵守了定义的时间点,从而实现实时跟踪和过程调整.
结论:
- 结构化的护理途径,多学科团队参与,是质量登记的可持续数据采集的基础.
- 内部仪表板显著提高数据质量,并支持HNC护理的持续流程改进.
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