Department of Biomedical Informatics, The State University of New York at Buffalo, Buffalo, New York, United States.
Department of Veterans Affairs, Western New York, Buffalo, United States.
Appl Clin Inform. 2021 Mar;12(2):251-258. doi: 10.1055/s-0041-1726032. Epub 2021 Mar 31.
This study aimed to develop an institutional approach for defining data migration based on participatory design principles.
We outline a collaborative approach to define data migration as part of an electronic health record (EHR) transition at an urban hospital with 20 ambulatory clinics, based on participatory design. We developed an institution-specific list of data for migration based on physician end-user feedback. In this paper, we review the project planning phases, multidisciplinary governance, and methods used.
Detailed data migration feedback was obtained from 90% of participants. Depending on the specialty, requests for historical laboratory values ranged from 2 to as many as 145 unique laboratory types. Lookback periods requested by physicians varied and were ultimately assigned to provide the most clinical data. This clinical information was then combined to synthesize an overall proposed data migration request on behalf of the institution.
Institutions undergoing an EHR transition should actively involve physician end-users and key stakeholders. Physician feedback is vital for developing a clinically relevant EHR environment but is often difficult to obtain. Challenges include physician time constraints and overall knowledge about health information technology. This study demonstrates how a participatory design can serve to improve the clinical end-user's understanding of the technical aspects of an EHR implementation, as well as enhance the outcomes of such projects.
本研究旨在制定一种基于参与式设计原则的数据迁移定义的机构方法。
我们概述了一种协作方法，以根据参与式设计，将数据迁移定义为具有 20 个门诊诊所的城市医院电子健康记录 (EHR) 过渡的一部分。我们根据医生终端用户的反馈，为特定机构制定了一份数据迁移清单。在本文中，我们回顾了项目规划阶段、多学科治理和使用的方法。
从 90%的参与者那里获得了详细的数据迁移反馈。根据专业的不同，对历史实验室值的请求范围从 2 种到多达 145 种不同的实验室类型不等。医生要求的回溯期各不相同，最终被分配以提供最多的临床数据。然后将这些临床信息组合起来，代表机构提出总体建议的数据迁移请求。
正在进行 EHR 过渡的机构应积极让医生终端用户和主要利益相关者参与进来。医生的反馈对于开发具有临床相关性的 EHR 环境至关重要，但通常很难获得。挑战包括医生的时间限制和对健康信息技术的总体了解。本研究表明，参与式设计如何能够改善临床终端用户对 EHR 实施技术方面的理解，并提高此类项目的成果。
