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通过使用电子健康记录提高门诊环境中医疗服务提供者对成人炎症性肠病患者护理指南的依从性。

Improving Provider Compliance With Adult Inflammatory Bowel Disease Patient Care Guidelines in the Ambulatory Setting Through the Use of Electronic Health Records.

作者信息

Bernasko Nana E, Coviello Jessica Shank

机构信息

Nana E. Bernasko, DNP, APRN, WHNP-BC, is Nurse Practitioner, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania. Jessica Shank Coviello, DNP, APRN, ANP-BC, is Associate Professor, Yale School of Nursing, West Haven, Connecticut.

出版信息

Gastroenterol Nurs. 2019 Nov/Dec;42(6):470-477. doi: 10.1097/SGA.0000000000000382.

DOI:10.1097/SGA.0000000000000382
PMID:31770348
Abstract

Electronic health record (EHR) systems have the ability to improve the quality of patient care, patient safety, and provide benefits to providers and clinic practices. These systems can transform quality measurement and quality improvement methods, facilitate workflow, and track patients over time to ensure that they receive guideline-recommended, evidence-based care. Simply having an EHR system, however, may not be enough to improve the quality and safety of healthcare, especially if the system is not designed to include features specific to the treatment population. A comprehensive literature review of the evidence on EHRs and the implementation of clinical guidelines was conducted. The positive outcomes in this review supports the notion that using well-designed, evidence-based clinical decision tools or checklists within the workflow of the EHR system can improve provider compliance with inflammatory bowel disease (IBD) clinical practice guidelines. Critical content to include in the IBD checklist for the adult patient in the ambulatory setting is also recommended.

摘要

电子健康记录(EHR)系统有能力提高患者护理质量、患者安全,并为医疗服务提供者和诊所业务带来益处。这些系统可以改变质量衡量和质量改进方法,促进工作流程,并长期跟踪患者,以确保他们接受指南推荐的循证护理。然而,仅仅拥有一个EHR系统可能不足以提高医疗保健的质量和安全性,特别是如果该系统的设计没有包含针对特定治疗人群的功能。我们对有关EHRs和临床指南实施的证据进行了全面的文献综述。本综述中的积极结果支持了这样一种观点,即在EHR系统的工作流程中使用精心设计的、循证的临床决策工具或检查表可以提高医疗服务提供者对炎症性肠病(IBD)临床实践指南的依从性。还建议了在门诊环境中成年患者的IBD检查表中应包含的关键内容。

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