Tracking resident pre-rounding electronic health record usage
Tracking resident pre-rounding electronic health record usage
复制标题
DOI：
10.1108/ijhcqa-06-2018-0137
复制
发表时间：
2019-04-15
影响因子：
1.5
通讯作者：
Thomas, Neal J.
中科院分区：
文献类型：
--
作者：
Krawiec, Conrad;Marker, Cristin;Thomas, Neal J.
目的居民从电子健康记录（EHR）中收集信息，并在查房时出示，但这一关键过程尚未得到充分研究。本文的目的是研究利用EHR嵌入式时间跟踪软件来量化居民轮前EHR活动的可行性，以及患者的敏锐度如何影响这一活动。设计/方法/途径这是一项回顾性观察性研究，量化了2016年5月至2016年12月期间儿科重症监护病房轮换前查房期间居民的EHR活动（总花费时间，执行任务和访问患者）。患者的遭遇进行了审查，以确定居民的所有权和提供的重症监护资源。结果Allo 21名合格的参与者被纳入。总共纳入了907例患者就诊，以评价患者急性影响。每个患者就诊的EHR使用率（中位数为分钟（第25百分位数，第75百分位数））受到所使用的重症监护资源的显著影响。EHR总时间：呼吸机和血管活性支持（10.54（6.68，17.19））;无呼吸机和血管活性支持（8.23（5.07，12.72））;有创/无创呼吸机支持（8.74（5.69，13.2））;和血管活性支持（10.37（7.72，11.65）），p
Purpose Residents collect information from the electronic health record (EHR) to present during rounds, but this crucial process is understudied. The purpose of this paper is to examine the feasibility of utilizing an EHR embedded time-tracking software to quantify resident pre-round EHR activity and how patient acuity impacts this activity. Design/methodology/approach This was a retrospective observational study that quantified resident EHR activities (total time spent, tasks performed and patient encounters accessed) during pre-rounds on their pediatric intensive care unit rotation between May 2016 and December 2016. Patient encounters were reviewed to determine resident ownership and critical care resources provided. Findings Allo 21 eligible participants were included. In total, 907 patient encounters were included to evaluate patient acuity impact. EHR usage per patient encounter (median in minutes (25th, 75th percentile)) was significantly affected by the critical care resources utilized. Total EHR time: both ventilator and vasoactive support (10.54 (6.68, 17.19)); neither ventilator nor vasoactive support (8.23 (5.07, 12.72)); invasive/noninvasive ventilator support (8.74 (5.69, 13.2)); and vasoactive support (10.37 (7.72, 11.65)), p