Lin Janet, Mauntel-Medici Cammeo, Heinert Sara, Baghikar Sara
Department of Emergency Medicine, University of Illinois Hospital and Health Science Systems, Chicago, Illinois.
J Public Health Manag Pract. 2017 May/Jun;23(3):264-268. doi: 10.1097/PHH.0000000000000448.
Emergency Departments (EDs) are important settings for routine HIV screening because they are safety nets for populations with limited access to primary care and high risk for HIV infection. However, EDs rarely perform routine HIV screening due to logistical barriers. An electronic medical record (EMR)-driven routine opt-out HIV screening program was implemented in an urban academic ED and led to rapid scale-up of screening volume and detection of unknown HIV infection. The streamlined tool, requiring 4 mouse clicks, automates screening for eligibility, facilitates documentation of consent and orders the HIV test. HIV screening increased to a monthly average of 550 tests compared to an average of 7 tests prior to program implementation. Similar EMR innovations can be leveraged in a variety of other clinical settings and for testing of other diseases to improve clinical flow and outcomes.
急诊科是进行常规艾滋病毒筛查的重要场所，因为它们是那些难以获得初级医疗服务且感染艾滋病毒风险较高人群的安全保障。然而，由于后勤障碍，急诊科很少开展常规艾滋病毒筛查。在一家城市学术性急诊科实施了一项由电子病历驱动的常规退出式艾滋病毒筛查项目，该项目迅速扩大了筛查量，并检测出了未知的艾滋病毒感染情况。这个简化工具只需4次鼠标点击操作，就能自动筛查是否符合条件，便于记录同意情况并开出艾滋病毒检测医嘱。与项目实施前平均每月7次检测相比，艾滋病毒筛查量增至平均每月550次检测。类似的电子病历创新可应用于各种其他临床环境以及其他疾病的检测，以改善临床流程和治疗效果。
