[1]罗晓钰,罗 鑫,黄 莉,等.医务人员对电子病历系统的认知和满意度分析[J].医学信息,2020,33(11):118-121.[doi:10.3969/j.issn.1006-1959.2020.11.037]
　LUO Xiao-yu,LUO Xin,HUANG LI,et al.Medical Staff’s Cognition and Satisfaction Analysis of Electronic Health Record System[J].Medical Information,2020,33(11):118-121.[doi:10.3969/j.issn.1006-1959.2020.11.037]
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医务人员对电子病历系统的认知和满意度分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年11期
页码:
118-121
栏目:
调查分析
出版日期:
2020-06-01

文章信息/Info

Title:
Medical Staff’s Cognition and Satisfaction Analysis of Electronic Health Record System
文章编号:
1006-1959（2020）11-0118-04
作者:
罗晓钰; 罗 鑫; 黄 莉; 等
（阿坝藏族羌族自治州人民医院护理部1，手术室2，儿科3，呼吸内科4，四川 马尔康 624000）
Author(s):
LUO Xiao-yu; LUO Xin; HUANG LI; et al
(Department of Nursing1,Operating Room2,Pediatrics3,Department of Respiratory Medicine4,Aba Tibetanand Qiang Autonomous Prefecture People’s Hospital,Ma’erkang 624000,Sichuan,China)
关键词:
医疗信息技术; 电子病历; 满意度; 横断面研究
Keywords:
Medical information technology; Electronic health record; Satisfaction; Cross-sectional study
分类号:
R197.324
DOI:
10.3969/j.issn.1006-1959.2020.11.037
文献标志码:
A
摘要:
目的 了解医务人员对电子病历系统的认知现状和使用满意度。方法 2019年1~2月采用方便抽样法选取四川2所三级医院402名医务人员，对其使用医院电子病历系统的情况进行问卷调查，分析其使用电子病历系统的认知情况和满意度。结果 电子病历系统的主要缺陷为信息不完整（47.51%）和信息不准确（39.06%）；医务人员对电子病历系统认知的积极反应率为35.84%，满意度为41.04%。电子病历系统的支持和沟通、电子病历系统培训能解释医务人员使用电子病历系统满意度35.50%的变异（F=111.503，P=0.000）。结论 提高医务人员对电子病历系统质量与安全的认知是医院管理的优先事项，医院应建立基于用户、管理者、系统开发主体的管理机制，定期评估系统风险以保障患者安全。
Abstract:
Objective To understand the medical staff’s knowledge and satisfaction with the electronic health record system.Methods From January to February 2019, 402 medical staff from 2 tertiary hospitals in Sichuan were selected by using the convenience sampling method, to conduct a questionnaire survey on the use of the hospital electronic health record system, and analyze the cognitive situation and satisfaction of using electronic health record system.Results The main defects of the electronic health record system are incomplete information (47.51%) and inaccurate information (39.06%); the positive response rate of medical staff to the electronic health record system is 35.84% and the satisfaction rate is 41.04%. The support and communication of the electronic medical record system and the electronic health record system training can explain the 35.50% variation in the satisfaction of medical personnel using the electronic health record system (F=111.503, P=0.000).Conclusion Improving the medical staff’s awareness of the quality and safety of the electronic health record system is a priority for hospital management. The hospital should establish a management mechanism based on users, managers, and system development subjects, and periodically assess system risks to ensure patient safety.

参考文献/References:

[1]Jones KJ,Skinner A,Xu L,et al.The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs//[M].Advances in Patient Safety: New Directions and Alternative Approaches (Vol.2: Culture and Redesign).Rockville(MD):Agency for Healthcare Research and Quality (US).2008.[2]中国医院协会.中国医院协会患者安全目标(2019版)[EB/OL].(2019-06-06)[2020-02-18].http://www.cha.org.cn/plus/view.php?aid=15808.[3]Haugen H.Overcoming the risks of copy and paste in EHRs[J].Journal of AHIMA,2014,85(6):54-55.[4]Kutney-Lee A,Sloane D,Bowles K,et al.Electronic health record adoption and nurse reports of usability and quality of care:The role of work environment[J].Appl Clin Inform,2019,10(1):129-139.[5]Williams A.Nursing informaticians address patient safety to improve usability of health information technologies[J].Stud Health Technol Inform,2019(257):501-507.[6]Harrington L.Electronic health record-related events in medical malpractice claims:User error vrsus use error[J].J Patient Saf,2019,15(4):282.[7]Kizzier-Carnahan V,Artis KA,Mohan V,et al.Frequency of passive EHR alerts in the ICU: Another form of alert fatigue[J].J Patient Saf,2019,15(3):246-250.[8]Larsen EP,Haskins LA,Law B,et al.Identification of design criteria to improve patient care in electronic health record downtime[J].J Patient Saf,2019(10):1097. [9]Wretborn J,Ekelund U,Wilhelms DB.Emergency department workload and crowding during a major electronic health record breakdown[J].Front Public Health,2019(7):267. [10]Feng C,Le D,Mccoy A.Using electronic health records to identify adverse drug events in ambulatory care:A systematic review[J].Appl Clin Inform,2019,10(1):123-128.[11]Holmgren AJ,Co Z,Newmark L,et al.Assessing the safety of electronic health records:a national longitudinal study of medication-related decision support[J].BMJ Qual Saf,2020,29(1):52-59.[12]林敏,陈京立,康晓凤,等.临床护理分类系统在电子病历中的研究及应用进展[J].中国护理管理,2019,19(5):735-739.[13]罗鑫,陈贵儒,李晓莉.电子病历系统调查问卷的汉化及信效度检验[J].医学信息,2020,33(4):90-93.[14]陈贵儒,孙慧敏,黄蓉蓉.我国中西部6所三级甲等医院护士患者安全文化认知现状及影响因素分析[J]. 中国护理管理,2019,19(8):1189-1194.[15]朱永梅.护士对病人安全文化认知的调查分析[J].护理研究,2018,32(12):1891-1895.[16]郑双江,周泓羽,滕苗,等.重庆市6所医院患者安全文化影响因素分析及对策建议[J].中国医院,2017,21(7):8-10.[17]张娜娜,高山,吴晶晶,等.医院信息系统使用对医生工作压力的影响——基于技术超载和角色超载分析[J].中国医院管理,2019,39(1):12-15.[18]祝嫦娥,宋宝香.医院信息系统使用对医生工作绩效的影响——基于适应性结构化理论视角[J].中国医院管理,2019,39(1):19-21.[19]魏浩文,丁腊春,王译,等.电话随访系统在出院随访中的应用[J].医学信息学杂志,2018,39(3):33-35.[20]蔡宏伟,彭红波,曹宇,等.电子病历系统的满意度调查与分析[J]. 中国卫生质量管理,2013,20(5):18-20.[21]王垭,黄浩,朱红,等.电子质量管理系统在电子病历体温单管理中的应用与评价[J].护士进修杂志,2019,34(19):1752-1754.

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更新日期/Last Update: 1900-01-01