Division of Pediatric Hematology/Oncology, Mayo Clinic, Rochester, Minnesota, United States.
Information Technology, Mayo Clinic, Rochester, Minnesota, United States.
Appl Clin Inform. 2020 Jan;11(1):122-129. doi: 10.1055/s-0040-1701254. Epub 2020 Feb 12.
To understand the ways in which providers use a mobile photography application integrated with the electronic health record (EHR) to facilitate clinical care, and the process outcomes that result from the application's use.
An e-mail survey was sent on November 13, 2017, to 1,463 health care providers at Mayo Clinic who had used an internally developed, EHR-integrated medical photography application.
The survey was completed by 712 (49%) providers. Providers reported using the application on approximately 1 in 7 days spent in clinical practice. Median provider satisfaction with the use of the application (0-100 scale; higher numbers indicate favorable response) was 94 (interquartile range [IQR]: 74-100). Although the use for store-and-forward telemedicine was reported (22% often or frequently used the application to send photographs to a specialist for advice), the most common use was for clinical documentation (65% often or frequently used the application to supplement text-based notes with photographs, and 71% often or frequently used the application to take photographs for reference by a colleague who may see the patient in the future). Of the health care providers, 36% indicated that the application's use often or frequently expedited treatment.
Health care providers reported using a mobile point-of-care medical photography application regularly in clinical practice and were generally satisfied with the application.
Point-of-care medical photography using a secure mobile, EHR-integrated application has potential to become a new standard of care for clinical documentation and may facilitate continuity across the continuum of care with multiple providers who see a patient.
了解提供者如何使用与电子健康记录 (EHR) 集成的移动摄影应用程序来促进临床护理，以及该应用程序使用所带来的流程结果。
于 2017 年 11 月 13 日向梅奥诊所的 1463 名使用内部开发的 EHR 集成医疗摄影应用程序的医疗保健提供者发送电子邮件调查。
调查由 712 名（49%）提供者完成。提供者报告称，在临床实践中大约每 7 天使用一次该应用程序。提供者对应用程序使用的满意度中位数（0-100 分制；分数越高表示响应越有利）为 94 分（四分位距 [IQR]：74-100）。尽管报告了存储转发远程医疗的使用（22%的人经常或频繁使用该应用程序向专家发送照片以获得建议），但最常见的用途是用于临床文档（65%的人经常或频繁地使用该应用程序通过照片补充基于文本的笔记，并且 71%的人经常或频繁地使用该应用程序为将来可能看到患者的同事拍摄照片作为参考）。在医疗保健提供者中，有 36%的人表示该应用程序的使用经常或频繁地加快了治疗速度。
医疗保健提供者报告称，他们在临床实践中经常使用移动即时医疗摄影应用程序，并且对该应用程序总体满意。
使用安全的移动、EHR 集成应用程序进行即时医疗摄影有可能成为临床文档的新标准，并可能通过多个为患者提供护理的提供者在护理连续体中促进连续性。
