电子医疗记录培训对儿科住院医生的学习成果的影响:基于模拟的研究
Stefan Malin1, Gabriela Centers2, Kellie Pearson3
1Department of Pediatrics, Division of Critical Care, Indiana University School of Medicine, Indianapolis, USA.
Cureus
|March 11, 2026
概括
基于模拟的电子病历 (EMR) 培训显著提高了儿科住院医生在模拟病例中的EMR熟练程度. 这种培训还可以提高儿科住院医生的临床决策技能.
科学领域:
- 医学教育 医学教育
- 医疗信息学 医疗信息学
- 儿科 儿科 儿科
背景情况:
- 电子医疗记录 (EMR) 是现代医疗保健不可或缺的一部分.
- 掌握EMR系统对于有效的临床决策至关重要.
- 儿科住院医生需要专门培训,以优化EMR在患者护理中的使用.
研究的目的:
- 评估结构化电子病历 (EMR) 培训对儿科住院医生的能力的影响.
- 在模拟场景中评估EMR培训对住户临床决策技能的影响.
- 将接受EMR培训的居民与对照组之间的EMR熟练程度和决策能力进行比较.
主要方法:
- 进行了一项前性,非盲目的随机对照试验.
- 儿科住院医生参与了基线和随访模拟性败血症和呼吸困扰情景.
- 干预组在模拟后接受了EMR培训,而对照组没有.
主要成果:
- 干预组显示EMR熟练度分数在败血症和呼吸模拟中显著改善.
- 经过EMR培训,败血症EMR得分增加了2.9分,呼吸道EMR得分增加了3分.
- 虽然在统计学上不显著,但模拟性能在两种情况下在两组中都显示出非显著的改善.
结论:
- 基于模拟的EMR培训有效地提高了儿科住院医生的EMR数据收集技能.
- 在模拟医疗环境中,EMR培训显示了改善临床决策的潜力.
- 发现受到单中心性质和本地EMR特异性的限制,影响了概括性.
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