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重症监护病房中的下一代电子健康记录:关注用户-技术界面以优化患者安全和质量。

The Next-Generation Electronic Health Record in the ICU: A Focus on User-Technology Interface to Optimize Patient Safety and Quality.

出版信息

Perspect Health Inf Manag. 2022 Jan 1;19(1):1g. eCollection 2022 Winter.

Abstract

As a knowledge-based field of medicine, critical care medicine has benefited from the use of the electronic health records (EHRs) in daily practice, as intensive care unit (ICU) patients generate thousands of pieces of clinical data each day.1 ICU teams must review, interpret, and take action on these data points when managing multiple patients in a time-constrained environment. The increasing number of available data facts to be processed by ICU clinicians for decision-making surpasses human cognitive capacity. ICU physicians described the current display and representation of patient data in the EHR as suboptimum. Performance dashboards are an information delivery system that display the most important information about performance objectives to ICU directors, allowing them to monitor and manage their ICU performance more effectively. The development of visualization dashboards that monitor ICU performance will still need to adhere to usability principles such as Jakob Nielsen's heuristics. The goal of improving EHR interfaces will directly enhance provider well-being, patient outcomes, and quality of care.

摘要

作为一个以知识为基础的医学领域,重症监护医学受益于在日常实践中使用电子健康记录 (EHRs),因为重症监护病房 (ICU) 患者每天会产生数千条临床数据。1 ICU 团队在有限的时间内管理多个患者时,必须审查、解释和采取这些数据点的措施。可供 ICU 临床医生处理的用于决策的可用数据事实数量不断增加,超出了人类的认知能力。重症监护病房的医生将当前 EHR 中患者数据的显示和表示描述为不理想。绩效仪表板是一种信息传递系统,向 ICU 主任显示有关绩效目标的最重要信息,使他们能够更有效地监测和管理 ICU 的绩效。开发监测 ICU 绩效的可视化仪表板仍需要遵守可用性原则,如 Jakob Nielsen 的启发式原则。改善 EHR 界面的目标将直接提高医护人员的幸福感、患者的结果和护理质量。

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