School of Industrial Engineering and Management, 33086Oklahoma State University, Stillwater, OK, USA.
Division of Healthcare Engineering, Department of Radiation Oncology, 2332University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; School of Information and Library Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Health Informatics J. 2022 Jul-Sep;28(3):14604582221113439. doi: 10.1177/14604582221113439.
This study synthesized the available evidence of simulation-based electronic health records (EHRs) training in educational and clinical environments for healthcare providers in the literature. The Arksey and O'Malley methodological framework was employed. A systematic search was carried out in relevant databases from inception to January 2020, identifying 24 studies for inclusion. Three themes emerged: (a) role of simulation-based EHR training in evaluating improvement interventions, (b) debriefing and feedback methods used, and (c) challenges of evaluating simulation-based EHR training. The majority of the studies aimed to emphasize the practical skills of individual medical trainees and employed post-simulation feedback as the feedback method. Future research should focus on (a) using simulation-based EHR training to achieve specific learning goals, (b) investigating aspects of clinical performance that are susceptible to skill decay, and (c) examining the influence of simulation-based EHR training on team dynamics.
本研究综合了文献中医疗保健提供者在教育和临床环境中基于模拟的电子健康记录 (EHR) 培训的现有证据。采用了阿特克赛和奥马利的方法框架。从开始到 2020 年 1 月,在相关数据库中进行了系统搜索,确定了 24 项研究纳入本研究。出现了三个主题:(a)基于模拟的 EHR 培训在评估改进干预措施中的作用,(b)使用的讨论和反馈方法,以及(c)评估基于模拟的 EHR 培训的挑战。大多数研究旨在强调个体医学受训者的实践技能,并将模拟后反馈作为反馈方法。未来的研究应集中于:(a)使用基于模拟的 EHR 培训来实现特定的学习目标,(b)调查易受技能衰退影响的临床绩效方面,以及(c)检查基于模拟的 EHR 培训对团队动态的影响。