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电子医生记录的外观吸引力。

The physical attractiveness of electronic physician notes.

作者信息

Payne Thomas H, Patel Rupa, Beahan Sally, Zehner Jacquie

机构信息

University of Washington, Seattle, Washington.

出版信息

AMIA Annu Symp Proc. 2010 Nov 13;2010:622-6.

PMID:21347053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3041462/
Abstract

Though notes in electronic medical record systems (EMRs) have advantages, they are often criticized for their unattractive and unprofessional appearance. We sought to identify notes regarded by physicians as attractive and unattractive and the characteristics of both. We sent a sample of 10 notes representing a variety of common note types to a sample of 70 physicians who are either leaders in UW Medicine or randomly selected note authors and asked them to rank the notes by their physical attractivness. We found their rankings were not random, and notes clustered into those considered most, intermediate, and least attractive. Characteristics of each group are presented. We'll use these results to format EMR notes in a more attractive form-a goal important to our physicians-while preserving important clinical, quality and compliance features that were our original goals in moving to electronic notes.

摘要

尽管电子病历系统(EMR)中的记录有其优点,但它们常常因其缺乏吸引力和不专业的外观而受到批评。我们试图识别被医生认为有吸引力和无吸引力的记录以及两者的特征。我们向70位医生(他们要么是华盛顿大学医学部的负责人,要么是随机挑选的记录作者)发送了10份代表各种常见记录类型的记录样本,并要求他们根据外观吸引力对这些记录进行排名。我们发现他们的排名并非随机,记录被分为最具吸引力、中等吸引力和最不具吸引力三类。文中呈现了每组的特征。我们将利用这些结果,以更具吸引力的形式来格式化电子病历记录——这一目标对我们的医生很重要——同时保留重要的临床、质量和合规特征,这些是我们转向电子记录的最初目标。

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本文引用的文献

1
Transition from paper to electronic inpatient physician notes.从纸质到电子住院医师病历的转变。
J Am Med Inform Assoc. 2010 Jan-Feb;17(1):108-11. doi: 10.1197/jamia.M3173.
2
Use of electronic health records in U.S. hospitals.美国医院中电子健康记录的使用情况。
N Engl J Med. 2009 Apr 16;360(16):1628-38. doi: 10.1056/NEJMsa0900592. Epub 2009 Mar 25.
3
Preliminary development of the physician documentation quality instrument.医生文档质量工具的初步开发。
J Am Med Inform Assoc. 2008 Jul-Aug;15(4):534-41. doi: 10.1197/jamia.M2404. Epub 2008 Apr 24.
4
Off the record--avoiding the pitfalls of going electronic.私下说——避免电子记录的陷阱。
N Engl J Med. 2008 Apr 17;358(16):1656-8. doi: 10.1056/NEJMp0802221.
5
A piece of my mind. Copy-and-paste.我的一点想法。复制粘贴。
JAMA. 2006 May 24;295(20):2335-6. doi: 10.1001/jama.295.20.2335.