优化外科住院医生手术报告的电子健康记录用户仪表板。

IF 2.1 2区 医学 Q4 MEDICAL INFORMATICS Applied Clinical Informatics Pub Date : 2024-10-17 DOI:10.1055/a-2444-0342
Parker T Evans, Scott Nelson, Adam Wright, Chetan Aher
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引用次数: 0

摘要

背景 虽然病例和患者追踪等行政任务是必要的,而且对教育有益,但可能会给外科学员带来额外负担。针对这些任务的自动化系统非常稀缺,导致工作流程的手动化和低效化。方法 我们为外科住院医师创建了一个基于电子病历(EHR)、用户特定的仪表板,用于汇编住院医师的特定数据:已执行的床旁程序、已执行或参与的手术病例以及住院医师作为病人护理代理所写的笔记。对住院医师志愿者进行了可用性测试,并在实施后对住院医师进行了调查,以评估其有效性和满意度。电子病历的访问日志数据用于评估仪表板在一段时间内的使用情况。并计算了描述性统计数据。结果 在一个学术医疗中心的 5 个不同科室(普通外科、妇产科、神经外科、骨科和耳鼻喉科)的约 175 名外科住院医师中实施了仪表板。参加可用性测试的 6 名住院医师志愿者平均独立完成了 96% 的预设任务。对从系统可用性量表(SUS)中提取的五个问题的平均回答从 4.0 到 4.67 不等,满分为 5 分。实施后的调查显示,居民满意度较高(4.39 分(满分 5 分)),使用率适中,46.4% 的居民至少每月使用一次仪表板。随着时间的推移,仪表板的日常使用率也在增加,尤其是在将仪表板作为外科住院医生的默认设置之后。结论 基于电子病历的仪表板可汇编住院医师的特定数据,从而提高管理任务的效率并补充纵向教育。
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Electronic Health Record User Dashboard for Optimization of Surgical Resident Procedural Reporting.

Background While necessary and educationally beneficial, administrative tasks such as case and patient tracking may carry additional burden for surgical trainees. Automated systems targeting these tasks are scarce, leading to manual and inefficient workflows. Methods We created an electronic health record (EHR)-based, user-specific dashboard for surgical residents to compile resident-specific data: bedside procedures performed, operative cases performed or participated in, and notes written by the resident as a surrogate for patients cared for. Usability testing was performed with resident volunteers, and residents were also surveyed post-implementation to assess for efficacy and satisfaction. Access log data from the EHR was used to assess dashboard usage over time. Descriptive statistics were calculated. Results The dashboard was implemented on a population of approximately 175 surgical residents in 5 different departments (General Surgery, Obstetrics and Gynecology, Neurosurgery, Orthopedics, and Otolaryngology) at a single academic medical center. 6 resident volunteers participating in usability testing completed an average of 96% of preset tasks independently. Average responses to five questions extracted from the System Usability Scale (SUS) questions ranged from 4.0 to 4.67 out of 5. Post-implementation surveys indicated high resident satisfaction (4.39 out of 5) and moderate rates of use, with 46.4% of residents using the dashboard at least monthly. Daily use of the dashboard has increased over time, especially after making the dashboard a default for surgical residents. Conclusion An EHR-based dashboard compiling resident-specific data can improve the efficiency of administrative tasks and supplement longitudinal education.

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来源期刊
Applied Clinical Informatics
Applied Clinical Informatics MEDICAL INFORMATICS-
CiteScore
4.60
自引率
24.10%
发文量
132
期刊介绍: ACI is the third Schattauer journal dealing with biomedical and health informatics. It perfectly complements our other journals Öffnet internen Link im aktuellen FensterMethods of Information in Medicine and the Öffnet internen Link im aktuellen FensterYearbook of Medical Informatics. The Yearbook of Medical Informatics being the “Milestone” or state-of-the-art journal and Methods of Information in Medicine being the “Science and Research” journal of IMIA, ACI intends to be the “Practical” journal of IMIA.
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