Lopez Christopher A, Omizo Reese K, Whealin Julia M
Clinical Informatics Service, VA Pacific Islands Health Care System, Honolulu, Hawaii, USA.
Department of Psychiatry, University of Hawaii School of Medicine, Honolulu, Hawaii, USA.
JAMIA Open. 2018 Aug 14;1(2):142-146. doi: 10.1093/jamiaopen/ooy031. eCollection 2018 Oct.
This quality improvement project evaluated the impact of a tailored, evidence-based training strategy on advanced electronic medical record (EMR) use for Veterans Administration (VA) clinicians experienced in using the EMR. After developing the curriculum, an online needs assessment tool evaluated 20 clinicians' competency gaps. Responses were used to prioritize clinicians' training needs. Clinician informaticists then provided 2-4 h of tailored training to groups of 1-5 clinicians. Compared with baseline scores ( = 3.59), scores on EMR Task Comfort showed a large improvement in the week following training ( = 4.60; = 5.41; <.000, = 0.58) regardless of baseline level of computer anxiety. Assessment and tailored training methods can help maximize the benefits of resources for EMR training. This formative evaluation suggests that tailored, hands-on training led by clinician informaticists effectively improved clinicians' EMR comfort and confidence in only 2-4 h.
这个质量改进项目评估了一种量身定制的、基于证据的培训策略对退伍军人事务部（VA）中经验丰富的电子病历（EMR）临床医生使用高级电子病历的影响。在制定课程后，一个在线需求评估工具评估了20名临床医生的能力差距。评估结果被用于确定临床医生培训需求的优先级。然后，临床信息专家为1至5名临床医生组成的小组提供了2至4小时的量身定制培训。与基线分数（=3.59）相比，无论计算机焦虑的基线水平如何，电子病历任务舒适度得分在培训后的一周内都有大幅提高（=4.60；=5.41；<.000，=0.58）。评估和量身定制的培训方法有助于最大限度地提高电子病历培训资源的效益。这项形成性评估表明，由临床信息专家进行的量身定制的实践培训仅用2至4小时就能有效提高临床医生对电子病历的舒适度和信心。
