结果反报告系统对急诊室医生图表的影响重新访问
Christina L Cifra1,2, Priynt Patel3, Cody R Tigges2
1Division of Medical Critical Care, Department of Pediatrics, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, United States.
Applied clinical informatics
|February 24, 2026
概括
为急诊室 (ED) 医生提供电子健康记录 (EHR) 关于重症儿童的反.
科学领域:
- 儿科重症监护室的儿童重症监护室
- 紧急医疗 紧急医疗
- 医疗信息学 医疗信息学
背景情况:
- 紧急部门 (ED) 的医生缺乏系统的反,以了解PICU转移后重症儿童的结果.
- 不一致的反阻碍了ED医生管理儿科重症监护患者的绩效改善.
研究的目的:
- 评估基于电子健康记录 (EHR) 的患者结果反对ED医生在PICU转移后重新访问患者记录的影响.
- 为了确定一个标准化的反系统是否能改善ED医生与患者结果的接触.
主要方法:
- 在一个学术三级转诊医院 (2019-2021) 的回顾性队列研究.
- 对ED医生实施基于EHR的患者结果反系统之前和之后的EHR重新访问率进行比较.
- 包括180名由30名ED医生转移到PICU的患者;分析了100个干预前和80个干预后的病例.
主要成果:
- 重新访问EHR的情况显著增加,从干预前的26%增加到干预后的80% (p < 0.001).
- 倾向性得分调整后的分析显示,在干预后队列中,EHR重新访问率高出2.58倍 (p < 0.001).
- 每名患者的EHR重新访问事件的调整平均值从0.44增加到1.14 (p < 0.001).
结论:
- 通过EHR提供一致的患者结果反显著增加ED医生在PICU转移后重新访问患者记录.
- 这种改善的参与可能会促进学习,并提高ED医生未来的临床表现.
- 需要进一步的研究来证实反系统对临床医师实践和儿科重症监护结果的有效性.
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