Abstract：
The emergency department has been a major focus for the implementation of Australia\'s national electronic health record, known as My Health Record. However, the association between use of My Health Record in the emergency department setting and patient care is largely unknown. The aim of this study was to explore the perspectives of emergency department clinicians regarding My Health Record use frequency, the benefits of My Health Record use (with a focus on patient care) and the barriers to use.
All 393 nursing, pharmacy, physician and allied health staff employed within the emergency department at a tertiary metropolitan public hospital in Melbourne were invited to participate in a web-based survey, between 1 May 2021 and 1 December 2021, during the height of the Delta and Omicron Covid-19 outbreaks in Victoria, Australia.
Overall, the survey response rate was 18% (70/393). Approximately half of the sample indicated My Health Record use in the emergency department (n = 39, 56%, confidence interval [CI] 43-68%). The results showed that users typically only engaged with My Health Record less than once per shift (n = 15, 39%, CI 23-55%). Just over half (n = 19/39, 54%, CI 32-65%) of all participants who use My Health Record agreed they could remember a time when My Health Record had been critical to the care of a patient. Overall, clinicians indicated the biggest barrier preventing their use of My Health Record is that they forget to utilise the system.
The results suggest that My Health Record has not been adopted as routine practice in the emergency department, by the majority of participants. Close to half of self-identified users of My Health Record do not associate use as being critical to patient care. Instead, My Health Record may only be used in scenarios that clinicians perceive will yield the greatest benefit-which clinicians in this paper suggest is patients with chronic and complex conditions. Further research that explores the predictors to use and consumers most likely to benefit from use is recommended-and strategies to socialise this knowledge and educate clinicians is desperately required.
All 393 nursing, pharmacy, physician and allied health staff employed within the emergency department at a tertiary metropolitan public hospital in Melbourne were invited to participate in a web-based survey, between 1 May 2021 and 1 December 2021, during the height of the Delta and Omicron Covid-19 outbreaks in Victoria, Australia.
Overall, the survey response rate was 18% (70/393). Approximately half of the sample indicated My Health Record use in the emergency department (n = 39, 56%, confidence interval [CI] 43-68%). The results showed that users typically only engaged with My Health Record less than once per shift (n = 15, 39%, CI 23-55%). Just over half (n = 19/39, 54%, CI 32-65%) of all participants who use My Health Record agreed they could remember a time when My Health Record had been critical to the care of a patient. Overall, clinicians indicated the biggest barrier preventing their use of My Health Record is that they forget to utilise the system.
The results suggest that My Health Record has not been adopted as routine practice in the emergency department, by the majority of participants. Close to half of self-identified users of My Health Record do not associate use as being critical to patient care. Instead, My Health Record may only be used in scenarios that clinicians perceive will yield the greatest benefit-which clinicians in this paper suggest is patients with chronic and complex conditions. Further research that explores the predictors to use and consumers most likely to benefit from use is recommended-and strategies to socialise this knowledge and educate clinicians is desperately required.
摘要：
急诊科一直是澳大利亚实施国家电子健康记录的主要重点，被称为我的健康记录。然而,在急诊科使用“我的健康记录”和患者护理之间的关联在很大程度上是未知的.这项研究的目的是探讨急诊科临床医生对我的健康记录使用频率的看法，使用我的健康记录的好处（重点是患者护理）和使用障碍。
所有393个护理，药房,墨尔本一家三级大都会公立医院急诊科的医生和专职医务人员应邀参加了一项基于网络的调查，2021年5月1日至2021年12月1日，在维多利亚州三角洲和OmicronCovid-19爆发最严重的时期，澳大利亚。
总的来说，调查应答率为18%(70/393).大约一半的样本表明我的健康记录在急诊科使用(n=39，56%，置信区间[CI]43-68%)。结果显示，用户通常每班只使用我的健康记录少于一次(n=15，39%，CI23-55%）。刚刚超过一半(n=19/39，54%，CI32-65％）使用“我的健康记录”的所有参与者都同意，他们可以记住“我的健康记录”对患者的护理至关重要的时间。总的来说,临床医生表示，阻止他们使用我的健康记录的最大障碍是他们忘记使用该系统。
结果表明，“我的健康记录”尚未被急诊科采纳为常规做法，大多数参与者。“我的健康记录”中近一半的自我识别用户没有将使用视为对患者护理至关重要。相反，我的健康记录只能用于临床医生认为会产生最大益处的场景-临床医生在本文中建议是患有慢性和复杂疾病的患者。建议进行进一步的研究，以探索使用的预测因素和最有可能从使用中受益的消费者-迫切需要将这些知识社会化并教育临床医生的策略。
所有393个护理，药房,墨尔本一家三级大都会公立医院急诊科的医生和专职医务人员应邀参加了一项基于网络的调查，2021年5月1日至2021年12月1日，在维多利亚州三角洲和OmicronCovid-19爆发最严重的时期，澳大利亚。
总的来说，调查应答率为18%(70/393).大约一半的样本表明我的健康记录在急诊科使用(n=39，56%，置信区间[CI]43-68%)。结果显示，用户通常每班只使用我的健康记录少于一次(n=15，39%，CI23-55%）。刚刚超过一半(n=19/39，54%，CI32-65％）使用“我的健康记录”的所有参与者都同意，他们可以记住“我的健康记录”对患者的护理至关重要的时间。总的来说,临床医生表示，阻止他们使用我的健康记录的最大障碍是他们忘记使用该系统。
结果表明，“我的健康记录”尚未被急诊科采纳为常规做法，大多数参与者。“我的健康记录”中近一半的自我识别用户没有将使用视为对患者护理至关重要。相反，我的健康记录只能用于临床医生认为会产生最大益处的场景-临床医生在本文中建议是患有慢性和复杂疾病的患者。建议进行进一步的研究，以探索使用的预测因素和最有可能从使用中受益的消费者-迫切需要将这些知识社会化并教育临床医生的策略。
