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电子病历使用的高级培训的迫切需求:对临床实践、教育和运动训练进步的影响。

The Critical Need for Advanced Training in Electronic Records Use: Implications for Clinical Practice, Education, and the Advancement of Athletic Training.

机构信息

Department of Interdisciplinary Health Sciences, Arizona School of Health Sciences, A.T. Still University, Mesa.

School of Osteopathic Medicine in Arizona, A.T. Still University, Mesa.

出版信息

J Athl Train. 2022 Jun 1;57(6):599-605. doi: 10.4085/1062-6050-298-21.

DOI:10.4085/1062-6050-298-21
PMID:34793597
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9387374/
Abstract

CONTEXT

The effective use of electronic records (ie, electronic health records or electronic medical records) is essential to professional initiatives and the overall advancement of the athletic training profession. However, evidence suggests that comprehensive patient care documentation and widespread use of electronic records are still limited in athletic training. The lack of formal training and education for clinicians and students is often cited as a primary barrier to electronic record use. Other health care disciplines have used academic electronic health record (AEHR) systems to address these barriers with promising results.

OBJECTIVES

To identify common challenges associated with the effective use of electronic records in clinical practice, discuss how an AEHR system can address these challenges and encourage more effective use of electronic records, and describe strategies for deploying AEHRs in the athletic training profession.

DESCRIPTION

The AEHR is an electronic records system specifically designed for educational use to support simulation learning among all types of learners (eg, practicing clinicians, students). Mimicking the form and function of an electronic health record, the AEHR offers various educational tasks, including patient care documentation projects, critical reviews of standardized patient cases, and assessments of patient care data for quality improvement efforts.

CLINICAL AND RESEARCH ADVANTAGES

Recent evidence suggests that the use of an AEHR can improve knowledge and enhance skills. Specifically, AEHR use has been associated with enhanced attitudes toward electronic health record technology, increased informatics competencies, and improved documentation skills. Also, the use of an AEHR has been associated with improved critical thinking and decision-making skills. This tool appears to be valuable for health professions education, and athletic training stands to benefit from its use to better train and upskill clinicians and students alike for clinical practice. Although the implementation of an AEHR will require much time and large-scale coordinated efforts, it will be a worthy investment to address current challenges and advance the athletic training profession.

摘要

背景

电子病历(即电子健康记录或电子医疗记录)的有效使用对于专业计划和整个运动训练专业的发展至关重要。然而,有证据表明,运动训练中仍广泛存在全面的患者护理文档记录和广泛使用电子病历的情况有限。临床医生和学生缺乏正规的培训和教育通常被认为是电子病历使用的主要障碍。其他医疗保健学科已经使用学术电子健康记录(AEHR)系统来解决这些障碍,取得了可喜的成果。

目的

确定与临床实践中有效使用电子病历相关的常见挑战,讨论 AEHR 系统如何解决这些挑战并鼓励更有效地使用电子病历,并描述在运动训练专业中部署 AEHR 的策略。

描述

AEHR 是一种专门为教育用途而设计的电子病历系统,用于支持各种学习者(例如,实践临床医生、学生)的模拟学习。AEHR 模仿电子健康记录的形式和功能,提供各种教育任务,包括患者护理文档项目、对标准化患者病例的关键审查以及对患者护理数据的评估,以进行质量改进工作。

临床和研究优势

最近的证据表明,使用 AEHR 可以提高知识水平并增强技能。具体而言,AEHR 的使用与对电子健康记录技术的态度增强、信息学能力提高以及文档技能提高有关。此外,AEHR 的使用与批判性思维和决策能力的提高有关。该工具似乎对健康专业教育很有价值,运动训练可以从其使用中受益,从而更好地培训和提高临床医生和学生的临床实践技能。尽管实施 AEHR 需要大量时间和大规模协调努力,但这将是一项值得的投资,可以解决当前的挑战并推动运动训练专业的发展。

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