"I didn't know you could do that": A Pilot Assessment of EHR Optimization Training.
"I didn't know you could do that": A Pilot Assessment of EHR Optimization Training.
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DOI：
10.1055/s-0041-1731005
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Cloutier H
中科院分区：
文献类型：
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作者：
Gold R;Bunce A;Davis JV;Nelson JC;Cowburn S;Oakley J;Carney S;Horberg MA;Dearing JW;Melgar G;Bulkley JE;Seabrook J;Cloutier H
电子健康记录（EHR）中的信息学工具-例如，数据名册和临床记录-可以帮助将护理指南传播到临床实践中。然而，这些工具的采用差异很大，可能是因为许多初级保健提供者在基本的EHR功能方面接受的培训很少。这种混合方法的试点培训计划的评估，试图确定在社区卫生中心（CHC）提供EHR使用优化培训时要考虑的因素，作为支持CHC供应商采用EHR工具的一步。在2018年春季，我们为10名CHC提供了为期2天，16小时的EHR使用优化培训，由临床培训师提供，并根据每个CHC的需求进行定制。我们在培训前和培训后立即对学员进行了调查，并在3个月后再次进行调查。我们对选定的诊所工作人员进行了培训后访谈，并与培训师进行了焦点小组，以评估培训的满意度，以及对培训如何影响后续EHR使用的看法。六个社区卫生中心接受并接受了培训; 122名诊所工作人员登记参加，大多数完成培训后调查的人表示满意。培训后三个月，80%的受访者表示培训在某种程度上或显著地改变了他们的日常EHR使用。当计划在社区卫生中心进行电子健康记录使用优化培训时，需要考虑的因素包括：社区卫生中心可能面临参加此类培训的障碍;可能有必要根据给定诊所的需求和不同学员的诊所角色定制培训;先验地确定学员的技能水平将有所帮助，但具有挑战性;亲自培训可能更可取;包括实践教练可能会有所帮助。需要进行更多的研究，以确定如何最有效地提供这种培训。
Informatics tools within electronic health records (EHRs)—for example, data rosters and clinical reminders—can help disseminate care guidelines into clinical practice. Such tools’ adoption varies widely, however, possibly because many primary care providers receive minimal training in even basic EHR functions. This mixed-methods evaluation of a pilot training program sought to identify factors to consider when providing EHR use optimization training in community health centers (CHCs) as a step toward supporting CHC providers’ adoption of EHR tools. In spring 2018, we offered 10 CHCs a 2-day, 16-hour training in EHR use optimization, provided by clinician trainers, and customized to each CHC’s needs. We surveyed trainees pre- and immediately post-training and again 3 months later. We conducted post-training interviews with selected clinic staff, and conducted a focus group with the trainers, to assess satisfaction with the training, and perceptions of how it impacted subsequent EHR use. Six CHCs accepted and received the training; 122 clinic staff members registered to attend, and most who completed the post-training survey reported high satisfaction. Three months post-training, 80% of survey respondents said the training had changed their daily EHR use somewhat or significantly. Factors to consider when planning EHR use optimization training in CHCs include: CHCs may face barriers to taking part in such training; it may be necessary to customize training to a given clinic’s needs and to different trainees’ clinic roles; identifying trainees’ skill level a priori would help but is challenging; in-person training may be preferable; and inclusion of a practice coach may be helpful. Additional research is needed to identify how to provide such training most effectively.