Transforming patient and family access to medical information: utilisation patterns of a patient-accessible electronic health record
Transforming patient and family access to medical information: utilisation patterns of a patient-accessible electronic health record
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DOI：
10.1017/s1047951110000363
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发表时间：
2010-10-01
影响因子：
1
通讯作者：
White, Jeffrey A.
中科院分区：
文献类型：
--
作者：
Burke, Redmond P.;Rossi, Anthony F.;White, Jeffrey A.
目的：本研究的目的是评估利用基于网络的多媒体患者可访问的电子健康记录，先天性心脏病患者和方法：这是一个前瞻性分析的患者接受先天性心脏手术在一个单一的机构，从2006年9月1日至2009年2月1日。在与医院管理部门、医生、护士和患者开会后，我们配置了心脏项目基于网络的临床电子健康记录的一个子集，供患者和家属访问。电子健康记录连续测量登录频率和时间、住院期间和住院之间的登录以及按类型（成像与文本数据）的页面浏览量。结果：在提供系统访问权限的前270名患者中，252名成为用户（采用率为93%）。系统安全性为99 9%，没有报告安全漏洞。患者住院期间（占总登录次数的67%）比出院后（占总登录次数的33%）用户更频繁地访问系统。一个家庭的最大登录次数为440次，最小为I次。每个家庭的平均登录次数为25次。影像资料的浏览频率显著高于文本资料（p
Objective: The purpose of this study was to evaluate the utilisation of a web-based multimedia patient-accessible electronic health record, for patients with congenital cardiac disease Patients and methods: This was a prospective analysis of patients undergoing congenital cardiac surgery at a single institution from 1 September, 2006 to 1 February, 2009. After meetings with hospital administration, physicians, nurses, and patients, we configured a subset of the cardiac program's web-based clinical electronic health record for patient and family access. The Electronic Health Record continuously measured frequency and time of logins, logins during and between hospitalisations, and page views by type (imaging versus textual data) Results: Of the first 270 patients offered access to the system, 252 became users (93% adoption rate). System uptime was 99 9%, and no security breaches were reported. Users accessed the system more often while the patients were in hospital (67% of total logins) than after discharge (33% of total logins) The maximum number of logins by a family was 440, and the minimum was I The average number of logins per family was 25. Imaging data were viewed significantly more frequently than textual data (p