专业和运营商地位影响电子健康记录使用变化变化
Phillip D Jenkins1, Gary Grunkemeier1, Elizabeth Weirich2
1Oregon Health & Science University, Portland, OR.
The American journal of managed care
|January 27, 2026
概括
电子健康记录 (EHR) 的使用在执行手术的医生和不执行手术的医生之间有所不同. 根据特定的工作流程定制EHR绩效基准对于优化医生效率和减少倦怠至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 医疗系统分析 医学系统分析
- 医生工作流程优化工作流程优化
背景情况:
- 电子健康记录 (EHR) 系统是医疗保健提供不可或缺的一部分.
- 医生的工作负担和倦怠是与电子病历使用相关的重大问题.
- 当前的EHR绩效指标可能无法充分考虑不同医疗角色和专业的差异.
研究的目的:
- 为了比较有程序角色和没有程序角色的医生之间的EHR利用指标.
- 根据不同医疗专业的程序状态,调查EHR表现的变化.
- 为制定更细致的EHR绩效基准提供信息.
主要方法:
- 一项横截面研究分析了来自学术卫生系统的23个月的提供者级EHR数据.
- 提供者被分为"运营商" (执行程序) 或"非运营商".
- 对比了六个关键的EHR指标:文档的及时性,效率和下班时间 ("睡衣时间").
主要成果:
- 与非运营商相比,运营商表现出较高的延迟共同签名和口头订单完成率.
- 在操作员和非操作员之间,睡衣时间和整体熟练程度相似.
- 在医学专业 (医学,儿科,妇产科医生) 和程序专业中观察到EHR指标的显著变化,眼科医生操作人员表现出高水平,但也增加了延迟.
结论:
- 电子病历使用模式根据医生的程序地位和专业有很大差异.
- 标准化,统一的EHR绩效基准可能不合适.
- 需要针对工作流进行特定的优化策略,以应对电子病历使用的变化,并减轻医生倦怠.
相关概念视频
Purpose of Health Records I
1.8K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.8K
Purpose of Health Records II
1.4K
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
1.4K
What is Variation?
18.4K
Apart from the measures of central tendency, distribution, outliers, and the changing characteristics of data with time, an important characteristic of any data set is its variation or spread. In some data sets, the data values are concentrated closely near the mean; in others, the data values are more widely spread out from the mean.
The range, standard deviation, standard error, and variance are the different measures of variation.
Range: The range is the difference between its maximum and...
The range, standard deviation, standard error, and variance are the different measures of variation.
Range: The range is the difference between its maximum and...
18.4K
Data Reporting and Recording
5.4K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
5.4K
Variation
8.0K
An important characteristic of any set of data is the variation in the data. In some data sets, the data values are concentrated closely near the mean; in other data sets, the data values are more widely spread out from the mean. The most common measure of variation, or spread, is the standard deviation, which is the square root of variance.
When independent and dependent variables are plotted on a scatter plot, the slope of a line is a value that describes the rate of change between the two...
When independent and dependent variables are plotted on a scatter plot, the slope of a line is a value that describes the rate of change between the two...
8.0K
Conservative Site-specific Recombination and Phase Variation
6.8K
Because the DNA segments are cut and reorganized in a direction-specific manner, site-specific recombination has emerged as an efficient genetic engineering technique. Flippase and Cyclization recombinases or Flp and Cre, respectively, are two members of the tyrosine recombinase family derived from bacteriophages, that are used to mediate site-specific DNA insertions, deletions, and targeted expression of proteins in mammalian cell lines.
The recognition sites for Cre recombinase called LoxP...
The recognition sites for Cre recombinase called LoxP...
6.8K


