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面向临床信息学专业学生的电子健康记录配置与定制实验室课程的开发与评估。

Development and evaluation of an electronic health record configuration and customization laboratory course for clinical informatics students.

作者信息

Mohan Vishnu, Hersh William R

机构信息

Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA.

出版信息

Stud Health Technol Inform. 2013;192:1122.

Abstract

OBJECTIVES

There is a need for informatics educational programs to develop laboratory courses that facilitate hands-on access to an EHR, and allow students to learn and evaluate functionality and configuration options. This is particularly relevant given the diversity of backgrounds of informatics students.

METHODS

We implemented an EHR laboratory course that allowed students to explore an EHR in both inpatient and outpatient clinical environments. The course focused on specific elements of the EHR including order set development, customization, clinical decision support, ancillary services, and billing and coding functionality. Students were surveyed at the end of the course for their satisfaction with the learning experience.

RESULTS AND CONCLUSIONS

We detailed challenges as well as lessons learned after analyzing student evaluations of this course. Features that promote the successful offering of an online EHR course, include (1) using more than one EHR to allow students to compare functionalities, (2) ensuring appropriate course calibration, (3) countering issues specific to EHR usability, and (4) fostering a fertile environment for rich online conversations are discussed.

摘要

目标

信息学教育项目需要开发实验室课程,以促进学生实际操作电子健康记录(EHR),并让学生学习和评估其功能及配置选项。鉴于信息学专业学生背景的多样性,这一点尤为重要。

方法

我们实施了一门电子健康记录实验室课程,让学生在住院和门诊临床环境中探索电子健康记录。该课程聚焦于电子健康记录的特定要素,包括医嘱集开发、定制、临床决策支持、辅助服务以及计费和编码功能。课程结束时,我们对学生进行了调查,了解他们对学习体验的满意度。

结果与结论

在分析学生对该课程的评价后,我们详细阐述了遇到的挑战以及汲取的经验教训。讨论了有助于成功开设在线电子健康记录课程的特点,包括:(1)使用多种电子健康记录系统,以便学生比较功能;(2)确保课程校准得当;(3)应对电子健康记录可用性方面的特定问题;(4)营造有利于进行丰富在线交流的良好环境。

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