Evans Parker T, Nelson Scott D, Wright Adam, Aher Chetan V
Department of General Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States.
Appl Clin Inform. 2025 Jan;16(1):185-192. doi: 10.1055/a-2444-0342. Epub 2024 Oct 17.
While necessary and educationally beneficial, administrative tasks such as case and patient tracking may carry additional burden for surgical trainees. Automated systems targeting these tasks are scarce, leading to manual and inefficient workflows.
We created an electronic health record (EHR)-based, user-specific dashboard for surgical residents to compile resident-specific data: bedside procedures performed, operative cases performed or participated in, and notes written by the resident as a surrogate for patients cared for. Usability testing was performed with resident volunteers, and residents were also surveyed postimplementation to assess for efficacy and satisfaction. Access log data from the EHR was used to assess dashboard usage over time. Descriptive statistics were calculated.
The dashboard was implemented on a population of approximately 175 surgical residents in 5 different departments (General Surgery, Obstetrics and Gynecology, Neurosurgery, Orthopaedics, and Otolaryngology) at a single academic medical center. Six resident volunteers participating in usability testing completed an average of 96% of preset tasks independently. Average responses to five questions extracted from the System Usability Scale (SUS) questions ranged from 4.0 to 4.67 out of 5. Postimplementation surveys indicated high resident satisfaction (4.39 out of 5) and moderate rates of use, with 46.4% of residents using the dashboard at least monthly. Daily use of the dashboard has increased over time, especially after making the dashboard a default for surgical residents.
An EHR-based dashboard compiling resident-specific data can improve the efficiency of administrative tasks and supplement longitudinal education.
病例和患者追踪等管理任务虽然必要且具有教育意义，但可能会给外科住院医师带来额外负担。针对这些任务的自动化系统很少，导致工作流程手动且效率低下。
我们为外科住院医师创建了一个基于电子健康记录（EHR）的、用户特定的仪表板，以汇总特定于住院医师的数据：所执行的床边操作、所执行或参与的手术病例，以及住院医师撰写的作为所护理患者替代记录的笔记。对住院医师志愿者进行了可用性测试，并在实施后对住院医师进行了调查，以评估其有效性和满意度。使用来自电子健康记录的访问日志数据来评估仪表板随时间的使用情况。计算了描述性统计数据。
该仪表板在一家学术医疗中心的5个不同科室（普通外科、妇产科、神经外科、骨科和耳鼻喉科）的约175名外科住院医师中实施。参与可用性测试的6名住院医师志愿者平均独立完成了96%的预设任务。从系统可用性量表（SUS）问题中提取的五个问题的平均回答分数在5分制中为4.0至4.67。实施后的调查显示住院医师满意度较高（5分制中的4.39分）且使用频率适中，46.4%的住院医师至少每月使用一次仪表板。随着时间的推移，仪表板的每日使用量有所增加，尤其是在将仪表板设为外科住院医师的默认设置之后。
一个基于电子健康记录的、汇总特定于住院医师数据的仪表板可以提高管理任务的效率并补充纵向教育。
