我们能拿b谷歌医生怎么办?使用电子病历(EMR)开出可靠的在线患者教育处方

Ruti Volk, N. Obeid
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引用次数: 7

摘要

目的使临床医生能够利用电子病历(EMR)方便地为患者开具预先批准的在线患者教育资源。医生和其他临床医生担心“谷歌医生”的广泛使用,以及对那些在互联网上发现的要求未经证实或不必要的测试和治疗的患者做出反应的困难。设置/参与者/资源参与者是使用Epic EMR的大型卫生系统的提供者。该机构维护着一个基于网络的数据库,该数据库链接到经内容专家审查的印刷和电子患者教育材料。方法临床医生与图书馆员合作创建网页,链接到他们为患者推荐的资源。图书馆员与信息技术(IT)部门合作实施了一个解决方案,使临床医生能够快速、轻松地将统一资源定位符(URL)发送到访问后摘要(AVS)或通过患者门户作为消息发送。结果该方案已在全院20多个单位实施。分析数据表明,大多数患者在外科诊所访问推荐资源。结论该方法简便易行,可有效引导患者寻找可靠的资源。其他使用电子病历系统(如EPIC或Cerner)的机构可以很容易地对其进行调整。
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What can we do about Dr. Google? Using the electronic medical record (EMR) to prescribe reliable online patient education
Objective The project enabled clinicians to utilize the electronic medical record (EMR) to easily prescribe preapproved online patient education resources to their patients. Background Physicians and other clinicians are concerned about the wide use of “Dr. Google” and the difficulties of responding to patients who demand unproven or unnecessary tests and therapies they found out about on the Internet. Setting/Participants/Resources Participants were providers at a large health system using Epic EMR. The institution maintains a web-based database that links to print and electronic patient education materials that have been vetted by content experts. Methods Clinicians worked with librarians to create web pages that link to the resources they recommend for their patients. Librarians collaborated with the information technology (IT) department to implement a solution that enables clinicians to quickly and easily send the uniform resource locator (URL) to the after visit summary (AVS) or as a message via the patient portal. Results This solution has been implemented in more than 20 units across the institution. Analytics data demonstrate that the majority of patients in a surgery clinic visited recommended resources. Conclusion This simple solution is effective in directing patients to reliable resources. It can be easily adapted by other institutions using an EMR system such as EPIC or Cerner.
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