Yip Matthew, Ackery Alun, Jamieson Trevor, Mehta Shaun
Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
The Institute for Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada.
JMIR Hum Factors. 2023 Mar 10;10:e43103. doi: 10.2196/43103.
The needs of the emergency department (ED) pose unique challenges to modern electronic health record (EHR) systems. A diverse case load of high-acuity, high-complexity presentations, and ambulatory patients, all requiring multiple transitions of care, creates a rich environment through which to critically examine EHRs.
This investigation aims to capture and analyze the perspective of end users of EHR about the strengths, limitations, and future priorities for EHR in the setting of the ED.
In the first phase of this investigation, a literature search was conducted to identify 5 key usage categories of ED EHRs. Using key usage categories in the first phase, a modified Delphi study was conducted with a group of 12 panelists with expertise in both emergency medicine and health informatics. Across 3 rounds of surveys, panelists generated and refined a list of strengths, limitations, and key priorities.
The findings from this investigation highlighted the preference of panelists for features maximizing functionality of basic clinical features relative to features of disruptive innovation.
By capturing the perspectives of end users in the ED, this investigation highlights areas for the improvement or development of future EHRs in acute care settings.
急诊科的需求给现代电子健康记录（EHR）系统带来了独特挑战。急诊科患者病情多样，包括高急症、高复杂性病例以及门诊患者，所有这些患者都需要多次转诊，这为严格审视电子健康记录创造了丰富的环境。
本调查旨在了解电子健康记录终端用户对急诊科环境下电子健康记录的优势、局限性及未来重点事项的看法，并进行分析。
在本调查的第一阶段，进行文献检索以确定急诊科电子健康记录的5个关键使用类别。利用第一阶段确定的关键使用类别，对一组12名兼具急诊医学和健康信息学专业知识的小组成员进行了改良德尔菲研究。在三轮调查中，小组成员提出并完善了一份关于优势、局限性和关键重点事项的清单。
本次调查结果突出显示，相较于颠覆性创新功能，小组成员更青睐能最大限度发挥基本临床功能的特性。
通过了解急诊科终端用户的看法，本调查突出了急性护理环境中未来电子健康记录的改进或开发方向。
