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首页> 外文期刊>The HIM journal >Dual vs. single computer monitor in a Canadian hospital Archiving Department: a study of efficiency and satisfaction.
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Dual vs. single computer monitor in a Canadian hospital Archiving Department: a study of efficiency and satisfaction.

机译：加拿大医院档案部门的双计算机监控器与单计算机监控器：对效率和满意度的研究。

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This paper describes a comparative study of clinical coding by Archivists (also known as Clinical Coders in some other countries) using single and dual computer monitors. In the present context, processing a record corresponds to checking the available information; searching for the missing physician information; and finally, performing clinical coding. We collected data for each Archivist during her use of the single monitor for 40 hours and during her use of the dual monitor for 20 hours. During the experimental periods, Archivists did not perform other related duties, so we were able to measure the real-time processing of records. To control for the type of records and their impact on the process time required, we categorised the cases as major or minor, based on whether acute care or day surgery was involved. Overall results show that 1,234 records were processed using a single monitor and 647 records using a dual monitor. The time required to process a record was significantly higher (p= .071) with a single monitor compared to a dual monitor (19.83 vs.18.73 minutes). However, the percentage of major cases was significantly higher (p= .000) in the single monitor group compared to the dual monitor group (78% vs. 69%). As a consequence, we adjusted our results, which reduced the difference in time required to process a record between the two systems from 1.1 to 0.61 minutes. Thus, the net real-time difference was only 37 seconds in favour of the dual monitor system. Extrapolated over a 5-year period, this would represent a time savings of 3.1% and generate a net cost savings of $7,729 CAD (Canadian dollars) for each workstation that devoted 35 hours per week to the processing of records. Finally, satisfaction questionnaire responses indicated a high level of satisfaction and support for the dual-monitor system. The implementation of a dual-monitor system in a hospital archiving department is an efficient option in the context of scarce human resources and has the strong support of Archivists.
机译：本文介绍了档案管理员（使用存档工具，在其他国家/地区也称为临床编码员）使用单计算机监视器和双计算机监视器进行的临床编码的比较研究。在本文中，处理记录相当于检查可用信息;搜索丢失的医生信息;最后，执行临床编码。我们为每个档案管理员在使用单显示器40个小时和使用双显示器20个小时期间收集了数据。在实验期间，档案管理员没有执行其他相关职责，因此我们能够测量记录的实时处理。为了控制记录的类型及其对所需处理时间的影响，我们根据是否涉及急诊护理或日间手术将病例分类为大例或小例。总体结果显示，使用单个监视器处理了1,234条记录，使用双监视器处理了647条记录。与双监视器相比，单监视器处理记录所需的时间明显更长（p = .071）（19.83 vs.18.73分钟）。但是，与双监控器组相比，单监控器组的主要病例百分比显着更高（p = .000）（78％vs. 69％）。结果，我们调整了结果，从而将处理两个系统之间的记录所需的时间差从1.1分钟减少到0.61分钟。因此，双监控系统的实时净差仅为37秒。按5年时间推算，这将节省3.1％的时间，对于每个每周花费35个小时来处理记录的工作站，将节省净成本7,729加元（加拿大元）。最后，满意度调查表的回答表明对双显示器系统的高度满意度和支持。在人力资源匮乏的情况下，在医院档案部门实施双重监控系统是一种有效的选择，并且得到了档案管理员的大力支持。

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