成人初级保健的嵌套订单面板适度提高了大量使用者的订单效率
Andrew D Schechtman1,2, Samantha M R Kling2,3, Donn W Garvert2,3
1University Medical Partners (a Partner of Stanford Medicine), Newark, CA 94560, United States.
JAMIA open
|February 18, 2026
概括
电子健康记录 (EHR) 订单偏好列表,称为xOrders,为临床医生节省了一些时间,但在初级保健中采用有限. 为了提高效率,需要进一步开发和增加利用率.
科学领域:
- 医疗信息学 医疗信息学
- 初级医疗保健医学 一级医疗保健医学
- 临床工作流的优化 临床工作流优化
背景情况:
- 电子健康记录 (EHR) 订单偏好列表和订单集可以提高效率.
- 然而,在复杂的初级保健环境中,它们的实用性往往是有限的.
- 为成人初级保健开发了一套全面的嵌套订单面板 (xOrders).
研究的目的:
- 评估xOrders在成人初级保健中的采用情况.
- 评估xOrders对临床医生的订单效率的影响.
- 为了捕捉临床医生对使用xOrders的看法.
主要方法:
- x订单分为两个阶段实施:逐步 (第一阶段) 和快速 (第二阶段).
- 采用指标包括每周使用量,用户数量和总订单的百分比.
- 使用中断时间序列分析分析了每次遇到订单的时间.
- 通过调查收集了临床医生的看法.
主要成果:
- 在第2阶段,xOrders被57名临床医生每周使用536次.
- 对于一些临床医生来说,订单占所有订单的31%.
- 高度和中度使用者显示,订单时间显著减少 (分别为14s和7s).
- 77%的调查受访者同意xOrders提高了订单效率.
结论:
- xOrder干预证明了节省时间和积极的临床医生反.
- 然而,采用率和对效率的整体影响有限.
- 扩展内容和增加用户采用是必要的,以实现显著的效率增长.
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