全企业同时部署环境写字技术:从一个学术卫生系统中吸取的教训
Aileen P Wright1,2, Carolynn K Nall3, Jacob J H Franklin1,3
1Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37203, United States.
Journal of the American Medical Informatics Association : JAMIA
|November 1, 2025
概括
同时在整个企业部署电子健康记录集成的环境写字技术是可行的. 这种方法提供了立即的临床医生访问和可管理的支持需求,减少了行政负担.
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
- 医疗技术实施 医疗技术实施
背景情况:
- 电子健康记录 (EHR) 系统旨在提高患者护理和行政效率.
- 环境写字技术提供了一个潜在的解决方案,以减少临床医生的文档负担.
- 大规模,同时部署新的健康技术带来了独特的后勤挑战.
研究的目的:
- 评估EHR集成的环境写字技术在整个企业同时实施的可行性.
- 评估临床医生采用,技术支持要求和用户对环境编写的满意度.
主要方法:
- 在门诊和急诊部门的2400多名临床医生中部署了环境编写.
- 使用率,技术支持门票和用户反被系统地跟踪.
- 一项调查评估了临床医生对该技术的访问和培训的情绪.
主要成果:
- 到2025年3月31日,20.1%的参观笔记使用了环境写字,其中1223名临床医生采用了该技术.
- 接受调查的临床医生中有90.9%表示希望保留对环境编写的访问权.
- 84.7%的受访者报告说,他们有过积极的培训经历.
结论:
- 同时在整个企业部署EHR集成的环境写字是可行的.
- 一个低障碍的培训模式促进了临床医生的快速访问和采用.
- 这种实施策略有效地减少了行政负担,并集中了启动工作.
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