漏洞,错误和变革的负担:从中间实施一个EPR
1Connect Programme, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK dj.mosby34@gmail.com.
BMJ leader
|February 27, 2026
概括
住院医生可以在NHS中推动电子患者记录 (EPR) 的采用. 他们对系统设计的深入参与对于成功的数字化转型和改善患者护理至关重要.
科学领域:
- 医疗信息学 医疗信息学
- 临床信息系统临床信息系统
- 数字化健康转型
背景情况:
- 英国NHS的电子病例记录 (EPR) 任务旨在现代化医疗保健实践.
- 对于先进的数字系统的渴望和实际的前线临床参与之间存在很大的差距.
- 住院医生有独特的地位,可以弥合这一差距,因为他们有直接的临床经验和接近系统实施.
研究的目的:
- 突出住院医生在成功实施和采用电子病历 (EPR) 中的关键作用.
- 强调临床医生参与数字卫生系统设计和测试阶段的重要性.
- 倡导NHS内部的自下而上的数字临床领导力.
主要方法:
- 一名住院医生被嵌入到一个EPR实施团队中两年.
- 参与设计功能,测试工作流程和培训临床医生.
- 利用独特的位置来理解现有的工作流程和未来的系统变化.
主要成果:
- 成功设计了EPR功能,并测试了临床工作流程.
- 开发并为同事提供培训计划.
- 克服了许多挑战,包括对变革的抵制和在没有正式权威的情况下影响利益相关者.
结论:
- 住院医生可以在EPR实施和数字健康倡议中成为变革的有力推动者.
- 在系统设计中,临床医生的深入参与对于有效的采用和可用性至关重要.
- 从根本上培养数字临床领导力是改善NHS数字未来的关键.
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