Ellsworth Marc A, Lang Tara R, Pickering Brian W, Herasevich Vitaly
Division of Neonatal Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
BMC Med Inform Decis Mak. 2014 Oct 24;14:92. doi: 10.1186/1472-6947-14-92.
The amount of clinical information that providers encounter daily creates an environment for information overload and medical error. To create a more efficient EMR human-computer interface, we aimed to understand clinical information needs among NICU providers.
A web-based survey to evaluate 98 data items was created and distributed to NICU providers. Participants were asked to rate the importance of each data item in helping them make routine clinical decisions in the NICU.
There were 23 responses (92% - response rate) with participants distributed among four clinical roles. The top 5 items with the highest mean score were daily weight, pH, pCO2, FiO2, and blood culture results. When compared by clinical role groupings, supervisory physicians gave individual data item ratings at the extremes of the scale when compared to providers more responsible for the daily clinical care of NICU patients.
NICU providers demonstrate a need for large amounts of EMR data to help guide clinical decision making with differences found when comparing by clinical role. When creating an EMR interface in the NICU there may be a need to offer options for varying degrees of viewable data densities depending on clinical role.
医疗服务提供者每天接触的临床信息量巨大，导致信息过载和医疗差错。为创建更高效的电子病历人机界面，我们旨在了解新生儿重症监护病房（NICU）医疗服务提供者的临床信息需求。
创建了一项基于网络的调查，用于评估98个数据项，并分发给NICU医疗服务提供者。参与者被要求对每个数据项在帮助他们做出NICU常规临床决策方面的重要性进行评分。
共收到23份回复（回复率92%），参与者分布在四个临床角色中。平均得分最高的前5项是每日体重、pH值、二氧化碳分压、吸入氧浓度和血培养结果。按临床角色分组比较时，与更负责NICU患者日常临床护理的医疗服务提供者相比，监督医师对单个数据项的评分处于量表的极端位置。
NICU医疗服务提供者表明需要大量电子病历数据来帮助指导临床决策，不同临床角色之间存在差异。在创建NICU电子病历界面时，可能需要根据临床角色提供不同程度的可见数据密度选项。
