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首页> 外文会议>IEEE International IOT, Electronics and Mechatronics Conference >Baseline Assessment, Intervention, and Interval Reassessment of Clinical Information Systems Infrastructure in an Academic Regional Referral Emergency Department
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Baseline Assessment, Intervention, and Interval Reassessment of Clinical Information Systems Infrastructure in an Academic Regional Referral Emergency Department

机译：学术区域转诊急诊科临床信息系统基础设施的基线评估，干预和间隔重新评估

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The widespread use of clinical information systems (CIS) creates ample opportunities for CIS-associated operational disruptions and delays that can negatively impact patient care. A clinical quality improvement (QI) project studied the CIS infrastructure at an academic regional referral emergency department (ED) at baseline and after implementation of targeted sustainment interventions. An ED 5S workgroup collaborated with ED clinical leaders and institutional information services (I.S.) teams to conduct comprehensive CIS inventory and function testing in 2016; an end-user survey on CIS functionality and impact were administered. Findings were analyzed to determine common points of failure, and concerted interventions were implemented during 2016-2018: development of a structured ED CIS inventory document with device mapping and specification of clinical functions; prioritized repair / replacement of non-functional / missing devices; institution of scheduled ED "Tech Rounds"; and installation of a self-service work-ticket Web portal for repair requests. A follow-up reassessment and survey in 2018 revealed mixed intervention results and highlighted infrastructure elements superseded by advances in mobile technology. Overall, a multi-disciplinary effort assessed an ED CIS infrastructure and its functionality at baseline and over time for changes associated with targeted interventions. Studied metrics revealed some successes and ongoing challenges.
机译：临床信息系统（CIS）的广泛使用为与CIS相关的操作中断和延误创造了充足的机会，这可能会对患者的护理产生负面影响。一个临床质量改善（QI）项目在基线以及实施有针对性的维持干预措施之后，在学术区域转诊急诊科（ED）研究了CIS基础设施。 ED 5S工作组与ED临床负责人和机构信息服务（I.S.）团队合作，于2016年进行了全面的CIS清单和功能测试;进行了有关CIS功能和影响的最终用户调查。分析发现以确定常见的故障点，并在2016-2018年实施了一致的干预措施：开发具有设备映射和临床功能规范的结构化ED CIS清单文件;优先维修/更换无功能/丢失的设备;预定的ED“技术回合”的机构;并安装用于维修请求的自助式工作机票Web门户。 2018年的后续重新评估和调查显示干预结果参差不齐，并强调了基础架构要素已被移动技术的进步所取代。总体而言，一项跨学科的工作评估了ED CIS基础设施及其功能在基线以及随着时间的推移与目标干预措施相关的变化。研究指标显示了一些成功和持续的挑战。

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