Meehan Rebecca
1 Kent State University, OH, USA.
J Appl Gerontol. 2017 Oct;36(10):1175-1196. doi: 10.1177/0733464815608493. Epub 2015 Oct 12.
As long-term post-acute care (LTPAC) settings continue to increase their adoption of electronic health records (EHRs), it is important to learn from end users currently working with the technology to identify clinical implications and opportunities to improve systems and surrounding processes. This study utilized one-on-one interviews of direct care nurses ( n = 20) in a Midwest United States LTPAC setting to describe patterns of use, and areas to improve. The majority of respondents evaluated the EHR as easy to use, with a positive impact on quality of care, through efficiencies gained in communication with the care team. Staff responses outline desired modifications to the software, including fixes to data fields for more accurate medication administration and accurate reports on bowel protocol follow-up. Recommendations for LTPAC organizations are made regarding improved staff training on the EHR, and modifications to the EHR and related processes to improve quality of care and staff retention.
随着长期急性后护理（LTPAC）机构越来越多地采用电子健康记录（EHR），向目前使用该技术的终端用户学习，以确定临床意义以及改进系统和周边流程的机会变得很重要。本研究对美国中西部一个LTPAC机构的直接护理护士（n = 20）进行了一对一访谈，以描述使用模式和改进领域。大多数受访者认为电子健康记录易于使用，通过与护理团队沟通效率的提高，对护理质量产生了积极影响。工作人员的反馈列出了对软件的期望修改，包括修复数据字段以实现更准确的药物管理以及关于肠道护理方案随访的准确报告。针对LTPAC机构提出了相关建议，包括加强电子健康记录方面的员工培训，以及对电子健康记录和相关流程进行修改，以提高护理质量和员工留存率。
