电子健康记录使用与效率和生产率相关的因素:一个可解释的机器学习分析分析
Huan Li1,2,3, Varada V Khanna2,4, Nate Apathy5
1Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, 06519, United States.
JAMIA open
|March 2, 2026
概括
医生电子健康记录 (EHR) 的使用,如快速消息响应和有限的超时工作,与更高的效率和生产力有关. 有针对性的EHR策略可以提高医生的表现和患者护理.
科学领域:
- 医疗信息学 医疗信息学
- 医疗实践管理 医疗实践管理
- 医疗保健中的机器学习
背景情况:
- 医生的效率和生产力对于医疗保健的提供至关重要.
- 电子健康记录 (EHR) 显著影响医生的工作流程.
- 了解EHR使用模式可以优化临床操作.
研究的目的:
- 调查特定的门诊医生EHR使用特征和医生效率的代理之间的相关性.
- 确定与提高医生生产力和绩效相关的关键EHR利用指标.
主要方法:
- 一项纵向队列研究分析了来自413个美国组织的医生月EHR元数据 (2019年5月-2022年4月).
- 一个多模型机器学习分类器被开发来预测医生效率.
- 医生的效率是通过同一天的图表完成率来衡量的;生产力是通过每天的患者访问量来衡量.
主要成果:
- 机器学习模型在分类高图表完成效率方面取得了0.74的准确性,与 <1.5天的收件箱周转率和 <25分钟/天的下班记录相关.
- 第二次分析 (0.84准确度) 将高访问量与<4.1分钟/访问EHR时间和<3.2分钟/访问临床审查联系起来.
- 包括218,610名医生,超过519万次观察,显示平均图表完成效率为72.9%和10.8次/天.
结论:
- 特定的EHR使用指标,包括收件箱管理和下班记录,可以作为干预的目标.
- 来自EHR数据的可操作见解可以促进平衡,高效的工作环境.
- 优化EHR使用可以改善患者护理,减少医生在EHR任务上花费的时间.
相关概念视频
01:30Methods of Documentation VII: EMR
1.5K
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
1.5K
01:29Issues And Trends In Healthcare Delivery System
6.3K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.3K
01:11Purpose of Health Records I
1.9K
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:
1.9K
01:23Mechanistic Models: Compartment Models in Individual and Population Analysis
310
Mechanistic models are utilized in individual analysis using single-source data, but imperfections arise due to data collection errors, preventing perfect prediction of observed data. The mathematical equation involves known values (Xi), observed concentrations (Ci), measurement errors (εi), model parameters (ϕj), and the related function (ƒi) for i number of values. Different least-squares metrics quantify differences between predicted and observed values. The ordinary least...
310