health care safety

  • 文章类型: Journal Article
    向电子健康记录(EHR)的过渡提高了医疗服务的质量和患者的安全性。然而,糟糕的可用性和不一致的工作流程可能会给文档和时间管理带来巨大的负担,导致员工倦怠。我们旨在(i)评估个性化EHR培训对健康提供者的知识和实践能力的有效性,和(ii)评估员工对EHR使用培训后的满意度。
    在2021年7月15日至2022年3月1日之间,对14名健康工作人员(年龄:38±3.9岁;7名男性,7名女性)在健康中心-RawdatAl-Khail健康中心。提供了六个月的混合培训。使用与EHR使用相关的知识和实践能力的事后调查评估了培训的影响。培训后评估了工作人员的满意度。
    大多数受访者在识别EHR的优势方面有所改善:改善护理的机密性(pre=35.7%vspost=100%,p=0.001),减少医疗错误(pre=35.7%vspost=85.7%,p=0.02),提高医疗保健质量(前=35.7%,后=100%,p=0.001),并减少等待时间(pre=42.9%,post=85.7%,p=0.03)。按摩治疗师/接待员执行这些任务的时间减少了:查看/编辑门诊组织者(pre=20±0svspost=10±0s),进入PM办公室(pre=155±136s,post=10±0s),选择/访问患者图表(pre=75±30svspost=30±20s),签入/签出(pre=120±0svspost=60±0s),并查看/编辑按摩表格(pre=135±75.5svspost=60±0s)。对于体育教练来说,进入门诊组织者的时间(pre=30±0svspost=10±0s),查看/编辑健身房表格(pre=101±57svspost=71±36s),查看患者的临床数据(pre=60±70svspost=10±3s),地点转诊顺序(pre=197±144vspost=82±23s)减少。平均百分比得分为65.4±38.7,表明员工满意度很高。
    这是量身定制的,实践培训受到好评,并有效提高了员工的健康知识,能力,和相对于EHR功能的满意度。
    UNASSIGNED: The transition to electronic health records (EHR) has improved the quality of health-care delivery and patient safety. However, poor usability and incongruent workflow may impose a significant burden on documentation and time management, resulting in staff burnout. We aimed to (i) evaluate the effectiveness of personalized EHR training on wellness providers\' knowledge and practical competencies, and (ii) assess staff satisfaction regarding the EHR usage post-training.
    UNASSIGNED: An interventional study was conducted between July 15, 2021, and March 1, 2022, among 14 wellness staff (age: 38 ± 3.9 years; 7 males, 7 females) in the Wellness Center-Rawdat Al-Khail Health Center. Six months of blended training was delivered. The impact of training was assessed using a pre-post survey on the knowledge and practical competencies related to EHR usage. Staff satisfaction was assessed post-training.
    UNASSIGNED: Majority of respondents had improvement in identifying the advantages of EHR: improve confidentiality of care (pre = 35.7% vs post = 100%, p = 0.001), reduce medical errors (pre = 35.7% vs post = 85.7%, p = 0.02), improve quality of health care (pre = 35.7% vs post = 100%, p = 0.001), and reduce wait time (pre = 42.9% vs post = 85.7%, p = 0.03). Time performing these tasks by massage therapists/receptionists was reduced: viewing/editing ambulatory organizer (pre = 20±0 s vs post = 10±0 s), access PM office (pre = 155±136 s vs post = 10±0 s), selection/access patient chart (pre = 75±30 s vs post = 30±20 s), check-in/out (pre = 120±0 s vs post = 60±0 s), and view/edit massage form (pre = 135±75.5 s vs post = 60±0 s). For gym instructors, time to access ambulatory organizer (pre = 30±0 s vs post = 10±0 s), view/edit the gym form (pre = 101±57 s vs post = 71±36 s), view patients\' clinical data (pre = 60±70 s vs post = 10±3 s), and place referral orders (pre = 197±144 vs post = 82±23 s) was reduced. A mean percentage score of 65.4±38.7 indicated very good staff satisfaction.
    UNASSIGNED: This tailored, hands-on training has been well received and effectively improved wellness staff knowledge, competencies, and satisfaction relative to EHR functionalities.
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