Evaluation of a Physician Informatics Tool to Improve Patient Handoffs
Evaluation of a Physician Informatics Tool to Improve Patient Handoffs
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DOI：
10.1197/jamia.m2892
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发表时间：
2009-07-01
影响因子：
6.4
通讯作者：
Doebbeling, Bradley N.
中科院分区：
文献类型：
--
作者：
Flanagan, Mindy E.;Patterson, Emily S.;Doebbeling, Bradley N.
目的：为了方便医生之间的患者交接，计算机化的患者交接工具（PHT）从电子健康记录中提取信息，以填充打印并提供给交叉覆盖医生的表格。目标是：(1)评估从电子健康记录中提取感兴趣的数据元素到PHT的速度，(2)评估需要PHT中包含的信息之外的信息的频率，以及从哪里获得的频率，(3)评估医生对PHT的看法，(4)确定改进的机会。设计：观察性研究。测量：这项多方法研究包括PHT表格的内容编码、跨覆盖住院医师的轮班结束调查和半结构化访谈，以确定改进的机会。42名内科住院医师中有35名参与了调查。测量方法包括：按信息类型编码的PHT表格1264份，交叉覆盖居民轮班结束调查63份（居民可参与2次），半结构化访谈18份。结果：对于目标1，可靠地提取了患者标识符和药物（>98%）。其他类型的信息——过敏和代码状态——变化更大(
Objective: To facilitate patient handoffs between physicians, the computerized patient handoff tool (PHT) extracts information from the electronic health record to populate a form that is printed and given to the cross-cover physician. Objectives were to: (1) evaluate the rate at which data elements of interest were extracted from the electronic health record into the PHT, (2) assess the frequency for needing information beyond that contained in the PHT and where obtained, (3) assess physician's perceptions of the PHT, (4) identify opportunities for improvement.Design: Observational study.Measurements: This multi-method study included content coding of PHT forms, end of shift surveys of cross-cover resident physicians, and semi-structured interviews to identify opportunities for improvement. Thirty-five of 42 internal medicine resident physicians participated. Measures included: 1264 PHT forms coded for type of information, 63 end-of-shift surveys of cross-cover residents (residents could participate 2 times), and 18 semi-structured interviews.Results: For objective 1, patient identifiers and medications were reliably extracted (>98%). Other types of information-allergies and code status-were more variable (