医生在心力衰竭管理中使用电子健康记录数据元素和决策支持工具:以用户为中心的跨部门调查研究
Mohamed S Ali1, Bruna Oewel2, Kaitlyn M Greer1
1College of Pharmacy, University of Michigan, 428 Church Street, Ann Arbor, MI, 48109, United States, 1 734-764-7312.
JMIR cardio
|November 14, 2025
概括
心脏病专家和普通医生优先考虑不同的电子健康记录 (EHR) 数据来管理心力衰竭 (HF). 未来的EHR设计应该满足这些偏好,以改善患者护理.
科学领域:
- 心脏病学和一般医学.
- 医疗信息学 医疗信息学
- 人与计算机的交互
背景情况:
- 有效的心力衰竭 (HF) 管理依赖于复杂的,数据驱动的决策.
- 电子健康记录 (EHR) 系统和临床决策支持 (CDS) 工具有助于信息获取.
- 在HF护理中,医生对EHR元素的优先考虑并未得到充分理解.
研究的目的:
- 确定心脏病专家和全科医生对HF护理优先考虑的关键EHR元素和工具.
- 为优化高频管理提供未来EHR应用程序的用户界面设计信息.
主要方法:
- 以用户为中心的设计方法,以了解医生在HF护理中的工作流程.
- 在302名医生 (150名心脏病专家,152名通用医学专家) 进行的横截面在线调查.
- 分析电子健康记录变量使用情况,在电子健康记录中花费的时间,以及使用预测模型/问卷.
主要成果:
- 两组人都使用药物清单,生命体征,实验室结果,诊断测试,问题清单和临床笔记.
- 心脏病专家强调诊断测试;通用医学医生优先考虑住院HF护理的问题列表.
- 标准化问卷和预测模型在两组人群中都未得到充分利用.
结论:
- 医生对特定EHR数据的依赖程度各不相同,心脏病学家倾向于诊断测试,一般医生倾向于问题列表.
- 问卷和预测模型的大量使用不足表明需要更好地整合工具.
- 未来的EHR接口设计必须适应这些不同的优先事项,以增强心力衰竭护理.
关键词:
心脏病专家心脏病专家的心脏病专家临床决策支持 临床决策支持电子健康记录是电子健康记录.一般医学的医生 医生医疗保健技术 技术 医疗保健技术医疗信息学健康信息学心力衰竭管理心力衰竭管理预测模型的预测模型.提供者满意度 提供者满意度用户体验设计设计用户界面设计用户界面设计.以用户为中心的设计工作流集成工作流集成.更多相关视频
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