提供者调度的概念模型:来自EHR实施的见解
Jeremy B Hill1, Elmer V Bernstam1,2, Licong Cui3
1Department of Internal Medicine, Division of General Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, TX 77030, United States.
将医生的日程安排整合到电子健康记录 (EHR) 中可以改善患者的沟通. 对于住院医疗服务提供者安排的标准化术语提高了EHR数据的互操作性.
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
- 电子健康记录电子健康记录
背景情况:
- 将初级和咨询医生的时间表整合到住院电子健康记录 (EHR) 中,对于高效的患者护理至关重要.
- 现有的系统往往缺乏无连接,阻碍实时访问提供商信息.
研究的目的:
- 开发一个概念模型和标准化定义,用于将住院医生的日程安排整合到EHR中.
- 展示这种整合如何支持以患者为中心的沟通,并改善工作流程.
主要方法:
- 过渡到Epic EHR,实施时间表集成模块.
- 开发了一个行人交叉工具,用于从外部调度系统中提取,转换和加载数据.
- 在15个设施中映射了2000多个班次到近700个团队.
主要成果:
- 实现了高利用率,平均每天有6500次随时服务提供商在实施后进行搜索.
- 开发了一个概念模型,定义了11个关键术语,用于住院医疗服务提供者的安排.
- 成功地将实时调度数据集成到EHR中.
结论:
- 开发的定义和概念模型有效地代表了住院医疗服务提供者的调度领域.
- 标准化术语有助于将调度数据集成到电子健康记录中,从而促进互操作性.
- 高利用率和低缺陷率验证了成功实施.
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