Workflow Analysis Driven Recommendations for Integration of Electronically-Enhanced Sexually Transmitted Infection Screening Tools in Pediatric Emergency Departments.
Workflow Analysis Driven Recommendations for Integration of Electronically-Enhanced Sexually Transmitted Infection Screening Tools in Pediatric Emergency Departments.
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DOI：
10.1007/s10916-020-01670-y
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发表时间：
2020-11-10
影响因子：
5.3
通讯作者：
Goyal MK
中科院分区：
文献类型：
--
作者：
Howe JL;Reed JL;Adams KT;Elsholz C;Augustine EM;Cruz AT;Mollen C;Pickett ML;Schmidt S;Stukus K;Ratwani RM;Goyal MK
青少年受性传播感染的影响特别大。不及时诊断和治疗性传播感染可能会导致严重的后遗症。青少年经常去急诊室（艾德）寻求治疗。虽然基于ED的STI筛查对患者和临床医生都是可以接受的，但了解如何在不影响患者安全或效率的情况下最好地将STI筛查流程实施到艾德临床工作流程中至关重要。本研究的目的是进行直接观察，记录6个儿科急诊应用研究网络（PECARN）ED的患者访视期间的当前工作流程和任务，以实现STI电子增强筛查流程的站点特定整合。工作流的观察是通过TaskTracker，时间和运动的电子数据收集应用程序，使研究人员能够分类一般的工作流程和记录多任务时，提供一个时间戳的任务开始和结束。在6个PECARN ED的118例患者访视期间采集了工作流程。由最资深的提供者进行初始评估的平均时间为76分钟（范围59- 106分钟，SD = 43分钟）。各研究中心的护理团队是一致的，包括主治医生、高级实践提供者、护士、登记员、技术人员和学生。进行了时间轴皮带比较。在大多数站点中，STI筛查工具最有希望的实施是在护士对患者进行初步评估后在患者检查室中进行。
Adolescents are disproportionately affected by sexually transmitted infections (STIs). Failure to diagnose and treat STIs in a timely manner may result in serious sequelae. Adolescents frequently access the emergency department (ED) for care. Although ED-based STI screening is acceptable to both patients and clinicians, understanding how best to implement STI screening processes into the ED clinical workflow without compromising patient safety or efficiency is critical. The objective of this study was to conduct direct observations documenting current workflow processes and tasks during patient visits at six Pediatric Emergency Care Applied Research Network (PECARN) EDs for site-specific integration of STI electronically-enhanced screening processes. Workflow observations were captured via TaskTracker, a time and motion electronic data collection application that allows researchers to categorize general work processes and record multitasking by providing a timestamp of when tasks began and ended. Workflow was captured during 118 patient visits across six PECARN EDs. The average time to initial assessment by the most senior provider was 76 min (range 59– 106 min, SD = 43 min). Care teams were consistent across sites, and included attending physicians, advanced practice providers, nurses, registration clerks, technicians, and students. A timeline belt comparison was performed. Across most sites, the most promising implementation of a STI screening tool was in the patient examination room following the initial patient assessment by the nurse.
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影响因子：
5.8
作者：
Weinstock, H;Berman, S;Cates, W
通讯作者：
Cates, W
影响因子：
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作者：
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影响因子：
3.6
作者：
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通讯作者：
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