Department of Neurology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
J Am Med Inform Assoc. 2021 Mar 1;28(3):628-631. doi: 10.1093/jamia/ocaa231.
We sought reduce electronic health record (EHR) burden on inpatient clinicians with a 2-week EHR optimization sprint.
A team led by physician informaticists worked with 19 advanced practice providers (APPs) in 1 specialty unit. Over 2 weeks, the team delivered 21 EHR changes, and provided 39 one-on-one training sessions to APPs, with an average of 2.8 hours per provider. We measured Net Promoter Score, thriving metrics, and time spent in the EHR based on user log data.
Of the 19 APPs, 18 completed 2 or more sessions. The EHR Net Promoter Score increased from 6 to 60 postsprint (1.0; 95% confidence interval, 0.3-1.8; P = .01). The NPS for the Sprint itself was 93, a very high rating. The 3-axis emotional thriving, emotional recovery, and emotional exhaustion metrics did not show a significant change. By user log data, time spent in the EHR did not show a significant decrease; however, 40% of the APPs responded that they spent less time in the EHR.
This inpatient sprint improved satisfaction with the EHR.
我们通过为期两周的电子健康记录（EHR）优化冲刺，旨在减轻住院临床医生的 EHR 负担。
由医师信息专家领导的团队与 1 个专业科室的 19 名高级执业医师（APP）合作。在两周内，团队完成了 21 项 EHR 变更，并为 APP 提供了 39 次一对一培训，每位提供者平均花费 2.8 小时。我们根据用户日志数据测量了 EHR 净推荐值、繁荣度指标和时间。
在 19 名 APP 中，有 18 名完成了 2 次或更多次会议。EHR 净推荐值从冲刺前的 6 分提高到冲刺后的 60 分（1.0；95%置信区间，0.3-1.8；P=0.01）。冲刺本身的 NPS 为 93，是一个非常高的评分。三轴情感繁荣、情感恢复和情感疲惫指标没有显示出显著变化。根据用户日志数据，在 EHR 上花费的时间没有显著减少；然而，40%的 APP 表示他们在 EHR 上花费的时间更少。
这项住院冲刺提高了对 EHR 的满意度。
