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变革——摒弃纸质办公，实现医院数字化。

Evolution - removing paper and digitising the hospital.

作者信息

Baniulyte G, Rogerson N, Bowden J

机构信息

Academic Clinical Fellow in Oral Surgery, Royal Devon & Exeter Hospital, Exeter, UK.

Speciality Doctor in Oral and Maxillofacial Surgery, Royal Devon & Exeter Hospital, Exeter, UK.

出版信息

Health Technol (Berl). 2023;13(2):263-271. doi: 10.1007/s12553-023-00740-8. Epub 2023 Feb 22.

DOI:10.1007/s12553-023-00740-8
PMID:36846741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9943586/
Abstract

PURPOSE

A transition from paper to Electronic Health Records has numerous benefits, including better communication and information exchange and decreased errors by medical staff. However, if managed poorly, it can result in frustration, causing errors in patient care and reduced patient-clinician interaction. Furthermore, a drop in staff morale and clinician burnout due to familiarising themselves with the technology has been mentioned in previous studies. Therefore, the aim of this project is to monitor the change in morale of staff of the Oral and Maxillofacial Department in a hospital which underwent the change in October 2020. Objectives: To observe staff morale during transition from paper to Electronic Health Records; to encourage feedback.

METHODS

After carrying out a Patient & Public Involvement consultation and receiving local research and development approval, a questionnaire was distributed to all members of the maxillofacial outpatients department on a regular basis.

RESULTS

On average, around 25 members responded to the questionnaire during each collection. There was a noticeable divergence in responses week on week according to job role and age, but minimal difference is noted from gender point of view after the first week. The study emphasised the position that not all members were happy with the new system but only a small minority would want to return to paper notes.

CONCLUSION

Staff members adapt to change at different rates, which are multifactorial in nature. A change of this scale should be monitored closely to allow for a smoother transition and ensure staff burnout is minimised.

摘要

目的

从纸质病历向电子健康记录的转变有诸多益处，包括改善沟通与信息交流以及减少医护人员的失误。然而，如果管理不善，可能会导致挫败感，引发患者护理中的失误并减少医患互动。此外，先前的研究提到，由于要熟悉这项技术，员工士气会下降，临床医生会倦怠。因此，本项目的目的是监测一家于2020年10月进行此项转变的医院口腔颌面科员工士气的变化。目标：观察从纸质病历向电子健康记录转变过程中的员工士气；鼓励反馈。

方法

在进行了患者及公众参与咨询并获得当地研发批准后，定期向口腔颌面门诊的所有成员发放问卷。

结果

每次收集问卷时，平均约有25名成员回复。根据工作岗位和年龄，每周的回复存在明显差异，但从性别角度来看，第一周之后差异极小。该研究强调，并非所有成员都对新系统满意，但只有极少数人希望恢复使用纸质病历。

结论

员工适应变化的速度不同，这本质上是多因素的。应密切监测这种规模的变革，以实现更平稳的过渡，并确保将员工倦怠降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/0aa64d509a51/12553_2023_740_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/589be9bca36a/12553_2023_740_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/eb20f9b0f073/12553_2023_740_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/1d268355c364/12553_2023_740_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/422ebe330f73/12553_2023_740_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/5cfd63a2bb4d/12553_2023_740_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/439a430d3afb/12553_2023_740_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/3a8c8a6334e2/12553_2023_740_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/d086659e884d/12553_2023_740_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/7de8d55e0a2b/12553_2023_740_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/8d0b5440675b/12553_2023_740_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/c7915b567e57/12553_2023_740_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/0aa64d509a51/12553_2023_740_Fig12_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/589be9bca36a/12553_2023_740_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/eb20f9b0f073/12553_2023_740_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/1d268355c364/12553_2023_740_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/422ebe330f73/12553_2023_740_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/5cfd63a2bb4d/12553_2023_740_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/439a430d3afb/12553_2023_740_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/3a8c8a6334e2/12553_2023_740_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/d086659e884d/12553_2023_740_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/7de8d55e0a2b/12553_2023_740_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/8d0b5440675b/12553_2023_740_Fig10_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/c7915b567e57/12553_2023_740_Fig11_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd5/9943586/0aa64d509a51/12553_2023_740_Fig12_HTML.jpg

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