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首页> 外文期刊>JMIR mHealth and uHealth >Frequent Mobile Electronic Medical Records Users Respond More Quickly to Emergency Department Consultation Requests: Retrospective Quantitative Study
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Frequent Mobile Electronic Medical Records Users Respond More Quickly to Emergency Department Consultation Requests: Retrospective Quantitative Study

机译：频繁移动电子医疗记录用户更快地响应紧急部门咨询请求：回顾性定量研究

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Background Specialty consultation is a critical aspect of emergency department (ED) practice, and a delay in providing consultation might have a significant clinical effect and worsen ED overcrowding. Although mobile electronic medical records (EMR) are being increasingly used and are known to improve the workflow of health care providers, limited studies have evaluated their effectiveness in real-life clinical scenarios. Objective For this study, we aimed to determine the association between response duration to an ED specialty consultation request and the frequency of mobile EMR use. Methods This retrospective study was conducted in an academic ED in Seoul, South Korea. We analyzed EMR and mobile EMR data from May 2018 to December 2018. Timestamps of ED consultation requests were retrieved from a PC-based EMR, and the response interval was calculated. Doctors’ log frequencies were obtained from the mobile EMR, and we merged data using doctors’ deidentification numbers. Pearson’s product-moment correlation was performed to identify this association. The primary outcome was the relationship between the frequency of mobile EMR usage and the time interval from ED request to consultation completion by specialty doctors. The secondary outcome was the relationship between the frequency of specialty doctors’ mobile EMR usage and the response time to consultation requests. Results A total of 25,454 consultations requests were made for 15,555 patients, and 252 specialty doctors provided ED specialty consultations. Of the 742 doctors who used the mobile EMR, 208 doctors used it for the specialty consultation process. After excluding the cases lacking essential information, 21,885 consultations with 208 doctors were included for analysis. According to the mobile EMR usage pattern, the average usage frequency of all users was 13.3 logs/day, and the average duration of the completion of the specialty consultation was 51.7 minutes. There was a significant inverse relationship between the frequency of mobile EMR usage and time interval from ED request to consultation completion by specialty doctors (coefficient=–0.19; 95% CI –0.32 to –0.06; P =.005). Secondary analysis with the response time was done. There was also a significant inverse relationship between the frequency of specialty doctors’ mobile EMR usage and the response time to consultation requests (coefficient=–0.18; 95% CI –0.30 to –0.04; P =.009). Conclusions Our findings suggest that frequent mobile EMR usage is associated with quicker response time to ED consultation requests.
机译：背景技术专业咨询是急诊部门（ED）实践的一个关键方面，提供咨询的延迟可能具有显着的临床效果和恶化过度拥挤。虽然移动电子医疗记录（EMR）正在越来越多地使用，并且已知改善医疗保健提供者的工作流程，但有限的研究已经评估了它们在现实临床情景中的有效性。目的对本研究，旨在确定响应持续时间与ED专业咨询请求的关联和移动EMR使用的频率。方法在韩国首尔的学术编辑中进行了这项回顾性研究。我们分析了2018年5月至2018年12月的EMR和移动EMR数据。从基于PC的EMR检索ED咨询请求的时间戳，并计算响应间隔。医生的日志频率是从移动EMR获得的，我们使用医生的Deidentifical号码合并数据。 Pearson的Product-on Product Mondy相关性是为了识别此协会。主要结果是移动EMR使用率与ED请求从专业医生咨询完成的时间间隔之间的关系。次要结果是特产医生移动EMR使用率与咨询请求的响应时间之间的关系。结果共有25,454名咨询咨询要求为15,555名患者，252名专业医生提供专业咨询。在使用移动EMR的742名医生中，208名医生用于专业咨询过程。在不包括缺乏基本信息的情况后，将纳入21,885名与208名医生进行分析。根据移动EMR使用模式，所有用户的平均使用频率为13.3日志/日，并且完成专业咨询的平均持续时间为51.7分钟。通过ED请求从ED请求通过特种医生完成（系数= -0.19; 95％CI -0.32至-0.06; p = .005）之间存在显着的反向关系。使用响应时间进行二次分析。特种医生移动EMR使用的频率和响应时间与咨询请求的响应时间（系数= -0.18; 95％CI -0.30至-0.04; p = .009）之间存在显着的反向关系。结论我们的调查结果表明，频繁的移动EMR使用与ED咨询请求更快的响应时间相关联。

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