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Abstract：
Precise, reliable, valid metrics that are cost-effective and require reasonable implementation time and effort are needed to drive electronic health record (EHR) improvements and decrease EHR burden. Differences exist between research and vendor definitions of metrics. PROCESS: We convened three stakeholder groups (health system informatics leaders, EHR vendor representatives, and researchers) in a virtual workshop series to achieve consensus on barriers, solutions, and next steps to implementing the core EHR use metrics in ambulatory care. CONCLUSION: Actionable solutions identified to address core categories of EHR metric implementation challenges include: (1) maintaining broad stakeholder engagement, (2) reaching agreement on standardized measure definitions across vendors, (3) integrating clinician perspectives, and (4) addressing cognitive and EHR burden. Building upon the momentum of this workshop\'s outputs offers promise for overcoming barriers to implementing EHR use metrics.
摘要：
精确,可靠,需要具有成本效益并需要合理的实施时间和精力的有效指标来推动电子健康记录（EHR）的改进并减轻EHR负担。度量的研究和供应商定义之间存在差异。过程：我们召集了三个利益相关者团体(卫生系统信息学领导人，EHR供应商代表,和研究人员)在虚拟研讨会系列中就障碍达成共识，解决方案,以及实施核心EHR的后续步骤在动态护理中使用指标。结论：为解决EHR指标实施挑战的核心类别而确定的可行解决方案包括：（1）保持广泛的利益相关者参与，(2)跨供应商就标准化措施定义达成协议，(3)整合临床医生的观点，(4)解决认知和EHR负担。在本次研讨会产出的势头的基础上，为克服实施EHR使用指标的障碍提供了希望。
