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首页> 外文期刊>Journal of athletic training >Research at the Point of Care: Using Electronic Medical Record Systems to Generate Clinically Meaningful Evidence
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Research at the Point of Care: Using Electronic Medical Record Systems to Generate Clinically Meaningful Evidence

机译：在护理点的研究：使用电子医疗记录系统在临床上产生临床上的证据

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Context Health care leaders have recommended the use of health information technology to improve the quality of patient care. In athletic training, using informatics, such as electronic medical records (EMRs), would support practice-based decisions about patient care. However, athletic trainers (ATs) may lack the knowledge to effectively participate in point-of-care clinical research using EMRs. Objectives To discuss the role of EMRs in athletic training and identify methodologic approaches to conducting clinical research at the point of care. Description The 2020 Commission on Accreditation of Athletic Training Education curricular content standards included the use of an electronic patient record to document care, mitigate error, and support decision making through the collection and use of patient data (Standard 64). Patient data are collected by ATs at the point of care via routine documentation, and these data can be used to answer clinical questions about their practice. Observational or descriptive study designs are ideal for this type of data. Observational research (ie, case-control, cross-sectional, cohort studies) evaluates factors that influence patients' lives in the “real world,” whereas descriptive research (ie, case study or series, descriptive epidemiology studies) identifies characteristics of individuals and groups. If ATs are comprehensively documenting patient care using an EMR, they have the means to participate in observational and descriptive research. Clinical and Research Advantages Using an EMR to its full capacity allows ATs to collect meaningful data at the point of care, conduct practice-based research, and improve health care for the patient and clinician. However, to ensure data quality, these approaches must include routine and comprehensive documentation habits.
机译：背景卫生保健领导人推荐使用健康信息技术来提高患者护理的质量。在运动训练中，使用电子医疗记录（EMRS）等信息学，将支持基于实践的关于患者护理的决定。然而，运动培训师（ATS）可能缺乏有效参与使用EMRS的护理点临床研究。目标讨论EMRS在运动培训中的作用，并确定在护理点进行临床研究的方法方法。描述2020年度认证委员会的运动训练教育教育课程内容标准包括使用电子患者记录来记录文件护理，缓解错误，并通过收集和使用患者数据（标准64）来支持决策。通过常规文档通过ATS收集患者数据，这些数据可用于回答有关其实践的临床问题。观测或描述性研究设计是这种类型的理想选择。观察研究（即案例控制，横断面，群组研究）评估影响患者生活在“现实世界”中的因素，而描述性研究（即案例研究或序列，描述性流行病学研究）识别个人的特征和团体。如果ATS通过EMR全面记录患者护理，则它们具有参与观​​察和描述性研究的方法。使用EMR的临床和研究优势在其全部产能中允许在护理点，进行实践的研究中收集有意义的数据，并改善患者和临床医生的医疗保健。但是，为了确保数据质量，这些方法必须包括例行和综合文档习惯。

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