Sockolow Paulina S, Bowles Kathryn H, Rogers Michelle, Adelsberger Marguerite C, Chittams Jesse L, Liao Cindy
Drexel University College of Nursing and Health Professions, Philadelphia, PA, USA.
Stud Health Technol Inform. 2013;192:939.
We conducted three health care evaluation studies in community and hospital settings to examine adoption of point-of-care documentation systems among interdisciplinary care team clinicians. Both community studies used a mixed methods design to assess actual system usage and clinician satisfaction. In the hospitals, scenario testing was used. Results indicated clinician adoption of the systems was universal, although not always timely with: (1) a mismatch between system functionality and workflow which was a barrier to clinician system access during patient care and reduced clinician efficiency; (2) no increase in interdisciplinary team communication; and (3) no impact on patient outcomes identified by clinicians. To facilitate adoption, clinicians should see the value of using the system as intended by receiving patient care and patient safety feedback that uses system data.
我们在社区和医院环境中开展了三项医疗保健评估研究，以考察跨学科护理团队临床医生对即时护理记录系统的采用情况。两项社区研究采用了混合方法设计，以评估系统的实际使用情况和临床医生的满意度。在医院中，则采用了情景测试。结果表明，临床医生对这些系统的采用是普遍的，尽管并不总是及时，原因包括：（1）系统功能与工作流程不匹配，这在患者护理期间阻碍了临床医生访问系统，并降低了临床医生的效率；（2）跨学科团队沟通没有增加；（3）临床医生未发现对患者结局有影响。为促进采用，临床医生应通过接收利用系统数据的患者护理和患者安全反馈，看到按预期使用该系统的价值。
