Identification of Design Criteria to Improve Patient Care in Electronic Health Record Downtime.
Identification of Design Criteria to Improve Patient Care in Electronic Health Record Downtime.
复制标题
确定设计标准以改善电子健康记录停机期间的患者护理。
DOI：
10.1097/pts.0000000000000580
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发表时间：
2021
影响因子：
2.2
通讯作者：
Ratwani,RajM
中科院分区：
文献类型：
--
作者：
Larsen,EthanP;HaskinsLisle,Ali;Law,Bethany;Gabbard,JosephL;Kleiner,BrianM;Ratwani,RajM
设计标准规范（需求，障碍，和上下文的使用考虑）持续安全和有效的病人护理活动在停机时间被确定通过使用现象学analysis.MethodsInterview成绩单从医疗人员谁有经验的停机事件进行了检查，使用现象学的方法。这个过程允许识别的设计标准，用于执行停机病人护理activities.ResultsA的标准有很大的变化，发现从参与者在不同的角色。差异建议的机会，以解决停机时间，可能需要注意的个人roles. Conclusionsobservation分布和沟通是重要的问题，在病人的护理停机时间。工作分配可能不平等，导致停机期间某些人员的工作量增加。现象学分析完成后，参与者进行了采访，表明这是一个可行的事后的方法。一些停机标准被确定为制定更好的停机应急计划的潜在准则。
ObjectiveDesign criteria specifications (needs, obstacles, and context-of-use considerations) for continuing safe and efficient patient care activities during downtime were identified by using phenomenological analysis.MethodsInterview transcripts from medical personnel who had experience with downtime incidents were examined using a phenomenological approach. This process allowed for the identification of design criteria for performing downtime patient care activities.ResultsA substantial variation in criteria was found from participants in different roles. The differences suggest opportunities to address downtime that may require attention to individual roles.ConclusionsWorkload distribution and communication are significant issues in patient care during downtime. There may not be an equal work distribution, leading to an increased workload for some personnel during downtime. Phenomenological analysis was completed after participants were interviewed, indicating it is a viable post hoc approach. Some downtime criteria were identified as potential guidelines for the development of better downtime contingency plans.