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从研究生健康信息学课程中实施OpenEMR所学到的经验教训。

Lessons Learned from OpenEMR Implementation in Graduate Health Informatics Curriculum.

作者信息

Sunchu Keerthika, Moncy Megha M, Purkayastha Saptarshi, Fulton Cathy R

机构信息

Dept. of BioHealth Informatics, Indiana University Indianapolis, Indianapolis, IN.

出版信息

AMIA Annu Symp Proc. 2025 May 22;2024:1079-1088. eCollection 2024.

Abstract

This study examines the integration of OpenEMR, a Meaningful Use-certified open-source electronic health record (EHR) system, into a Health Informatics curriculum. The primary objective was to address the disparity between theoretical knowledge and practical application in health informatics education. The implementation process revealed several significant challenges, including unintended system modifications that compromised functionality, data entry errors that impacted usability, and technical issues that impeded accessibility. To mitigate these challenges, a series of interventions were implemented. These included backend modifications to enhance data entry accuracy, usability improvements such as limiting open tabs to facilitate navigation, and the implementation ofproactive measures to expedite the resolution of technical issues. The experiences gained from this integration process highlight three critical aspects of health informatics education: the significance of practical proficiency in EHR systems, the necessity for user-centric interface design, and the importance of adaptability and problem-solving skills. The study proposes several future directions for research and practice. These include fostering global collaboration, developing standardized curricula for EHR education, and establishing robust mechanisms for continuous assessment and improvement. The findings underscore the pivotal role of integrating hands-on EHR experience into health informatics education, emphasizing its potential to equip students with the essential competencies required to navigate the complex and dynamic healthcare landscape.

摘要

本研究探讨了将获得有意义使用认证的开源电子健康记录(EHR)系统OpenEMR整合到健康信息学课程中的情况。主要目标是解决健康信息学教育中理论知识与实际应用之间的差距。实施过程中发现了几个重大挑战,包括意外的系统修改导致功能受损、数据录入错误影响可用性以及技术问题阻碍访问。为了缓解这些挑战,实施了一系列干预措施。这些措施包括进行后端修改以提高数据录入准确性、进行可用性改进(如限制打开的标签页以方便导航)以及实施积极措施以加快技术问题的解决。从这个整合过程中获得的经验突出了健康信息学教育的三个关键方面:EHR系统中实践能力的重要性、以用户为中心的界面设计的必要性以及适应能力和解决问题能力的重要性。该研究提出了几个未来的研究和实践方向。这些方向包括促进全球合作、制定EHR教育的标准化课程以及建立强大的持续评估和改进机制。研究结果强调了将EHR实践经验整合到健康信息学教育中的关键作用,强调了其使学生具备在复杂多变的医疗环境中所需基本能力的潜力。

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