使用电子健康记录患者门户网站收集预先指示和代孕的规格
Annapoorna R Chirra1, Suzanne Manteuffel2, Tracy Runnels3
1Division of General Internal Medicine, University of California, Los Angeles, CA, USA.
Journal of general internal medicine
|January 23, 2026
概括
卫生信息与信息管理系统 (HIIMS) 的员工通过EHR患者门户网站有效处理了预先护理计划 (ACP) 文件. 这种简化流程改善了文件捕获和质量检查,提高了患者护理协调.
科学领域:
- 医疗信息学 医疗信息学
- 健康信息管理 管理健康信息
- 患者参与 患者参与
背景情况:
- 预先指示 (AD) 的填写和收集是一个复杂的,多步骤的过程.
- 医院和卫生系统需要在电子健康记录 (EHR) 中有效的AD文档管理机制.
研究的目的:
- 实施和评估一个使用EHR患者门户和健康信息与信息管理系统 (HIIMS) 人员收集,验证和集成预先护理计划 (ACP) 文件和代理决策者到EHR的系统.
- 提高非洲和非洲国家和地区文件采集和处理的质量和效率.
主要方法:
- 进行了一项单臂,时间序列质量改进项目.
- 开发了一个合作机制,涉及健康IT,HIIMS和预先护理计划计划.
- 希姆斯医院的工作人员接受了专门的培训,以评估通过患者门户网站提交的ACP文件和替代信息,将其整合到电子健康记录中或为重新提交提供患者反.
主要成果:
- 在41个月的时间里,通过患者门户网站上传了7274份非洲和非洲国家和地区的文件,其中65%的文件在最初提交时被接受.
- 最初被拒绝的文件中有15%成功重新提交并被接受.
- 增加了12509名代理决策者,在研究期间更新和删除了大量人数.
结论:
- 吸引HIIMS人员是一个可行的策略,通过统一的EHR患者门户网站来促进ACP文件的捕获.
- 实施的系统有效地结合了质量检查,并提供了患者反,简化了AD过程.
- 这种方法增强了关键的患者护理规划信息的整合到EHR.
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