利用电子病历教授以患者为中心的医疗服务。
Using electronic medical records to teach patient-centered care.
作者信息
Frenzel Jeanne E
机构信息
College of Pharmacy, Nursing, and Allied Sciences, North Dakota State University, Fargo, ND 58108-6050, USA.
出版信息
Am J Pharm Educ. 2010 May 12;74(4):71. doi: 10.5688/aj740471.
OBJECTIVE
To develop, implement, and evaluate the use of electronic medical records (EMRs) in disease state management activities to teach pharmacy students patient-centered care skills.
DESIGN
Faculty created 12 patient cases and an EMR for each simulated patient. Students used the information in the EMR to confirm the presence of a disease in their patient; to design and monitor an evidence-based patient-centered care plan, and document their assessment, medication, and monitoring recommendations; and to follow up in a SOAP (subjective, objective, assessment, plan) note format within the EMR.
ASSESSMENT
A precourse and postcourse survey instrument was administered to assess students' perceived gains in knowledge and attitudes regarding the use of EMRs for learning patient-centered care skills. A grading rubric was used to evaluate each SOAP note.
CONCLUSION
Implementation of disease state management activities involving EMRs improved pharmacy students' patient care skills.
目的
开发、实施并评估电子病历（EMR）在疾病状态管理活动中的应用，以培养药学专业学生以患者为中心的护理技能。
设计
教师为每个模拟患者创建了12个患者病例和一份电子病历。学生利用电子病历中的信息确认患者是否患有某种疾病；设计并监测以证据为基础的以患者为中心的护理计划，并记录他们的评估、用药及监测建议；并在电子病历中以SOAP（主观、客观、评估、计划）记录格式进行随访。
评估
在课程开始前和结束后发放调查问卷，以评估学生在使用电子病历学习以患者为中心的护理技能方面所获得的知识和态度上的收获。使用评分标准对每份SOAP记录进行评估。
结论
实施涉及电子病历的疾病状态管理活动提高了药学专业学生的患者护理技能。
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