急诊科的健康信息交换：急诊科临床医生怎么看？
Health Information Exchange in the ED: What Do ED Clinicians Think?
作者信息
Melvin Cathy L, Saef Steven H, Pierce Holly O, Obeid Jihad S, Carr Christine M
机构信息
From the Medical University of South Carolina, Department of Public Health Sciences, Division of General Internal Medicine and Geriatrics, Psychiatry and Behavioral Sciences, South Carolina Clinical and Translational Research Institute, and the Department of Medicine, Charleston, South Carolina.
出版信息
South Med J. 2016 Jul;109(7):419-26. doi: 10.14423/SMJ.0000000000000466.
OBJECTIVES
Our regional health information exchange (HIE), known as Carolina eHealth Alliance (CeHA)-HIE, serves all major hospital systems in our region and is accessible to emergency department (ED) clinicians in those systems. We wanted to understand reasons for low CeHA-HIE utilization and explore options for improving it.
METHODS
We implemented a 24-item user survey among ED clinician users of CeHA-HIE to investigate their perceptions of system usability and functionality, the quality of the information available through CeHA-HIE, the value of clinician time spent using CeHA-HIE, the ease of use of CeHA-HIE, and approaches for improving CeHA-HIE.
RESULTS
Of the 231 ED clinicians surveyed, 51 responded, and among those, 48 reported having used CeHA-HIE and completed the survey.
CONCLUSIONS
Results show most ED clinicians believed that CeHA-HIE was easy to use and added value to their work, but they also desired better integration of information available from CeHA-HIE into their system's electronic medical record.
目标
我们的区域健康信息交换（HIE），即卡罗莱纳州电子健康联盟（CeHA）-HIE，服务于我们地区的所有主要医院系统，该地区急诊科（ED）的临床医生均可使用。我们希望了解CeHA-HIE利用率低的原因，并探索提高利用率的方法。
方法
我们对CeHA-HIE的急诊科临床医生用户进行了一项包含24个项目的用户调查，以调查他们对系统可用性和功能、通过CeHA-HIE可获取信息的质量、使用CeHA-HIE所花费临床医生时间的价值、CeHA-HIE的易用性以及改进CeHA-HIE的方法的看法。
结果
在接受调查的231名急诊科临床医生中，51人做出了回应，其中48人报告使用过CeHA-HIE并完成了调查。
结论
结果显示，大多数急诊科临床医生认为CeHA-HIE易于使用且为他们的工作增添了价值，但他们也希望将CeHA-HIE提供的信息更好地整合到其系统的电子病历中。
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