Rand Victoria, Coleman Cam, Park Rachel, Karar Azza, Khairat Saif
University of North Carolina - Chapel Hill, U.S.A.
Cairo University, Egypt.
Stud Health Technol Inform. 2018;251:277-280.
Information overload is a significant problem in the digital age of healthcare and plays key a role in diagnostic errors, near misses, and patient safety, especially in critical care settings. Because of this, we propose a new mixed-methods approach for evaluating EHR-related information overload on clinicians in the ICU. We describe a three-part approach to better understand ICU clinicians' information needs and workflow as they relate to the EHR, and to explore the effects of the EHR on provider workload, performance, and satisfaction. Based on discussions with ICU providers, key areas of information needs have been identified and a preliminary model of EHR workflow has been established.
信息过载是医疗保健数字时代的一个重大问题,在诊断错误、险些失误和患者安全方面起着关键作用,尤其是在重症监护环境中。因此,我们提出了一种新的混合方法,用于评估重症监护病房(ICU)临床医生与电子健康记录(EHR)相关的信息过载情况。我们描述了一种分三个部分的方法,以更好地理解ICU临床医生与EHR相关的信息需求和工作流程,并探讨EHR对医疗人员工作量、绩效和满意度的影响。基于与ICU医疗人员的讨论,已确定了信息需求的关键领域,并建立了EHR工作流程的初步模型。