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电子病历系统实施对儿科急诊患者流量指标的影响。

Impact of electronic health record implementation on patient flow metrics in a pediatric emergency department.

机构信息

Division of Emergency Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.

出版信息

J Am Med Inform Assoc. 2012 May-Jun;19(3):443-7. doi: 10.1136/amiajnl-2011-000462. Epub 2011 Nov 3.

DOI:10.1136/amiajnl-2011-000462
PMID:22052897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3341791/
Abstract

Implementing electronic health records (EHR) in healthcare settings incurs challenges, none more important than maintaining efficiency and safety during rollout. This report quantifies the impact of offloading low-acuity visits to an alternative care site from the emergency department (ED) during EHR implementation. In addition, the report evaluated the effect of EHR implementation on overall patient length of stay (LOS), time to medical provider, and provider productivity during implementation of the EHR. Overall LOS and time to doctor increased during EHR implementation. On average, admitted patients' LOS was 6-20% longer. For discharged patients, LOS was 12-22% longer. Attempts to reduce patient volumes by diverting patients to another clinic were not effective in minimizing delays in care during this EHR implementation. Delays in ED throughput during EHR implementation are real and significant despite additional providers in the ED, and in this setting resolved by 3 months post-implementation.

摘要

在医疗保健环境中实施电子健康记录 (EHR) 会带来挑战，没有比在实施过程中保持效率和安全更重要的了。本报告量化了在实施 EHR 期间将低紧急度就诊从急诊部门 (ED) 转移到替代护理地点的影响。此外，该报告评估了 EHR 实施对整体患者住院时间 (LOS)、到达医疗服务提供者的时间和 EHR 实施期间提供者生产力的影响。在实施 EHR 期间，整体 LOS 和到达医生的时间增加。平均而言，住院患者的 LOS 延长了 6-20%。对于出院患者，LOS 延长了 12-22%。通过将患者分流到另一个诊所来减少患者数量的尝试在最小化在此 EHR 实施期间的护理延迟方面并不有效。尽管 ED 中有更多的提供者，但在 ED 中实施 EHR 期间的吞吐量延迟是真实且重大的，并且在实施后 3 个月内得到解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/3341791/047ec4f716b5/amiajnl-2011-000462fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/3341791/56157e9c3fd5/amiajnl-2011-000462fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/3341791/047ec4f716b5/amiajnl-2011-000462fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/3341791/56157e9c3fd5/amiajnl-2011-000462fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/097d/3341791/047ec4f716b5/amiajnl-2011-000462fig2.jpg

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3
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