使用人类因素和系统模拟来优化代码文档工具的可用性
Susan Biesbroek1, Mirette Dubé2, Jennifer Arnold2
1Healthcare Systems Simulation International Inc., Calgary, AB, Canada.
Pediatric emergency care
|January 20, 2026
概括
改进电子健康记录 (EHR) 文档工具用于重症监护,如心脏骤停场景,提高了可用性和准确性. 将这些工具集成到工作流中是获得更好的患者数据的关键.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 医疗保健系统工程 系统工程
背景情况:
- 在重症监护机构实施新的电子健康记录 (EHR) 系统给医疗人员带来了挑战.
- 设计不佳的EHR工具在心脏骤停等高风险事件中可能导致不完整或不准确的文档.
- 低采用率和依赖纸质表格可能会在EHR中造成数据缺口.
研究的目的:
- 通过使用人类因素和模拟方法,评估EHR系统的代码文档工具.
- 在设计阶段确定需要改进的EHR可用性和功能领域.
- 确保EHR工具与重症监护中的临床工作流程保持一致.
主要方法:
- 人为因素的可用性测试,使用来自急诊室 (ED),重症监护室 (ICU) 和新生儿重症监护室 (NICU) 的最终用户.
- 基于系统的模拟评估,对代码文档工具进行评估.
- 在EHR设计阶段,在多个周期中进行代测试.
主要成果:
- 总共产生了202条建议,以改善电子病历的可用性和功能.
- 大多数建议集中在增强代码叙述器工具的软件和技术上.
- 大约三分之二的可用性建议是在发布后的第一年内实施的.
结论:
- 提高电子健康记录工具设计和工作流程集成对于提高采用率至关重要.
- 无集成可以提高重症监护患者记录的准确性和完整性.
- 以用户为中心的设计和可用性测试对于在高风险环境中成功实施EHR至关重要.
相关概念视频
02:39lncRNA - Long Non-coding RNAs
9.8K
In humans, more than 80% of the genome gets transcribed. However, only around 2% of the genome codes for proteins. The remaining part produces non-coding RNAs which includes ribosomal RNAs, transfer RNAs, telomerase RNAs, and regulatory RNAs, among other types. A large number of regulatory non-coding RNAs have been classified into two groups depending upon their length – small non-coding RNAs, such as microRNA, which are less than 200 nucleotides in length, and long non-coding RNA...
9.8K
01:30Guidelines for Nursing Documentation I
1.8K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.8K
01:23Methods of Documentation V: CBE
1.4K
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
1.4K
01:28Formats for Nursing Documentation
1.9K
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
1.9K
01:29Nursing Code of Ethics
4.3K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
4.3K
01:10Documentation of Nursing Diagnosis
1.7K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.7K