Physicians' perceptions about a semantically integrated display for chart review: A Multi-Specialty survey.
Physicians' perceptions about a semantically integrated display for chart review: A Multi-Specialty survey.
复制标题
医生对用于图表审查的语义集成显示的看法：多专业调查。
DOI：
10.1016/j.ijmedinf.2022.104788
复制
发表时间：
2022
影响因子：
4.9
通讯作者：
Cimino,JamesJ
中科院分区：
文献类型：
--
作者：
Colicchio,TiagoK;Liang,WayneH;Dissanayake,PavithraI;DoRosario,ClementinoV;Cimino,JamesJ
目的通过对病人护理环境的正式描述，评估医生对病历回顾综合显示的看法。方法我们反复设计了一个综合患者摘要的概念原型，并与来自大型卫生系统的多专业门诊医生小组进行了在线调查，以收集他们对我们的原型有用性的看法。调查问题采用7分李克特量表回答，其中包括两个开放式问题，用于对与电子健康记录（EHR）导航相关的挑战和建议进行评论，并进行专题分析。结果49名医生完成了调查。我们的综合显示的有用性被评为略积极，受访者并不认为它令人困惑。医生经常报告的与EHR导航相关的挑战包括需要在多个功能之间导航和手动搜索相关数据。最常见的建议与促进来自记录多个部分的数据的集成有关，以促进数据可视化和理解。结论医师对电子病历导航的评价为略积极的，并从他们的评价中获得了一些改进电子病历导航的见解。通过促进病历多个部分的数据集成，简化数据检索和合成，可以实现更有效的电子病历导航。
ObjectiveTo assess physicians’ perceptions about integrated displays for chart review based on a formal representation of patients’ care context.MethodsWe iteratively designed a conceptual prototype of an integrated patient summary and conducted an online survey with a multi-specialty panel of outpatient physicians from a large health system to collect their perceptions of the usefulness of our prototype. Survey questions were responded with a 7-point Likert scale and include two open-ended questions for comments on challenges and suggestions related to electronic health record (EHR) navigation, with which a thematic analysis was performed.ResultsForty-nine physicians completed the survey. The usefulness of our integrated display was rated slightly positive, and respondents did not consider it confusing. Challenges related to EHR navigation frequently reported by physicians included the need to navigate between multiple functionalities and to manually search for relevant data. The most common suggestions were related to facilitating integration of data from multiple parts of the record to facilitate data visualization and comprehension.ConclusionPhysicians’ rating of usefulness was slightly positive, and several insights to improve EHR navigation were derived from their comments. More effective EHR navigation may be achieved through facilitating integration of data from multiple parts of the record to simplify data retrieval and synthesis.