Kalava Arun, Ravindranath Sapna, Bronshteyn Inessa, Munjal Ripudaman S, Schianodicola Joseph, Yarmush Joel M
J Grad Med Educ. 2014 Mar;6(1):155-7. doi: 10.4300/JGME-D-13-00164.1.
There is an increasing use of electronic health records in hospitals across the United States. The speed and accuracy of residents in documenting electronic health records has been insufficiently addressed.
We studied resident typing skills at New York Methodist Hospital. Participating residents typed a standard 100-word alphanumerical paragraph of a patient's medical history. Typing skills were assessed by calculating the net words per minute (WPM). Typing skills were categorized as follows: (1) fewer than 26 net WPM as very slow; (2) 26 to 35 net WPM as slow; (3) 35 to 45 net WPM as intermediate; and (4) greater than 45 net WPM as fast. Residents were further categorized into (1) American medical graduates; (2) American international medical graduates; and (3) non-American international medical graduates.
A total of 104 of 280 residents (37%) participated in the study. There was equal representation from various specialties, backgrounds, and all postgraduate levels of training. The median typing speed was 30.4 net WPM. Typing skills were very slow (34 of 104, 33%), slow (28 of 104, 27%), intermediate (29 of 104, 28%), and fast (13 of 104, 12%) among the residents. Typing skills of non-American international medical graduates (mean net WPM of 25.9) were significantly slower than those of American medical graduates (mean net WPM of 35.9) and American international medical graduates (mean net WPM of 33.5).
Most residents (60%, 62 of 104) who participated in the study at our institute lacked typing skills. As the use of electronic health records increases, a lack of typing skills may impact residents' time for learning and patient care.
美国各地医院越来越多地使用电子健康记录。住院医师记录电子健康记录的速度和准确性尚未得到充分研究。
我们在纽约卫理公会医院研究了住院医师的打字技能。参与研究的住院医师录入一段100字的患者病史标准字母数字段落。通过计算净每分钟字数（WPM）来评估打字技能。打字技能分类如下：（1）净WPM少于26为非常慢；（2）26至35净WPM为慢；（3）35至45净WPM为中等；（4）大于45净WPM为快。住院医师进一步分为：（1）美国医学毕业生；（2）美国国际医学毕业生；（3）非美国国际医学毕业生。
280名住院医师中有104名（37%）参与了研究。各专业、背景及所有研究生培训水平的代表人数均等。打字速度中位数为30.4净WPM。住院医师中打字技能非常慢的有34名（104名中的33%），慢的有28名（104名中的27%），中等的有29名（104名中的28%），快的有13名（104名中的12%）。非美国国际医学毕业生的打字技能（平均净WPM为25.9）明显慢于美国医学毕业生（平均净WPM为35.9）和美国国际医学毕业生（平均净WPM为33.5）。
在我们机构参与研究的大多数住院医师（60%，104名中的62名）缺乏打字技能。随着电子健康记录使用的增加，打字技能的缺乏可能会影响住院医师的学习时间和患者护理。
