仪表板的使用和导航在减少电子健康记录系统医疗差错方面的潜在作用：一项混合方法模拟交接研究
The potential role of dashboard use and navigation in reducing medical errors of an electronic health record system: a mixed-method simulation handoff study.
作者信息
Wu Danny T Y, Deoghare Smruti, Shan Zhe, Meganathan Karthikeyan, Blondon Katherine
机构信息
Department of Biomedical Informatics, University of Cincinnati, Cincinnati, OH, USA.
Department of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.
出版信息
Health Syst (Basingstoke). 2019 May 28;8(3):203-214. doi: 10.1080/20476965.2019.1620637. eCollection 2019.
The dashboards of electronic health record (EHR) systems could potentially support the chart biopsy that occurs before or after physician handoffs. In this study, we conducted a simulation handoff study and recorded the participants' navigation patterns in an EHR system mock-up. We analyzed the navigation patterns of dashboard use in terms of duration, frequency, and sequence, and we examined the relationship between dashboard use in chart biopsy and the errors identified after handoffs. The results show that the participants frequently used the dashboard as an information hub and as an information resource to help them navigate the EHR system and answer the questions in a nursing call. Moreover, using the dashboard as an information hub can help reduce imprecision and factual errors in handoffs. Our findings suggest the need for a "context-aware" dashboard to accommodate dynamic navigation patterns and to support clinical work as well as to reduce medical errors.
电子健康记录（EHR）系统的仪表盘有可能支持在医生交接班之前或之后进行的病历分析。在本研究中，我们进行了一项模拟交接班研究，并记录了参与者在EHR系统模型中的导航模式。我们从持续时间、频率和顺序方面分析了仪表盘使用的导航模式，并研究了病历分析中仪表盘使用与交接班后识别出的错误之间的关系。结果表明，参与者经常将仪表盘用作信息中心和信息资源来帮助他们在EHR系统中导航并回答护理呼叫中的问题。此外，将仪表盘用作信息中心有助于减少交接班中的不精确性和事实性错误。我们的研究结果表明需要一个“情境感知”仪表盘来适应动态导航模式、支持临床工作并减少医疗错误。
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