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首页> 外文期刊>Journal of public health management and practice: JPHMP >Harnessing the Power of the Electronic Medical Record to Facilitate an Opt-Out HIV Screening Program in an Urban Academic Emergency Department
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Harnessing the Power of the Electronic Medical Record to Facilitate an Opt-Out HIV Screening Program in an Urban Academic Emergency Department

机译：利用电子医疗记录的力量，以促进在城市学术急诊部门的选择退出HIV筛选计划

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摘要

Emergency Departments (EDs) are important settings for routine HIV screening because they are safety nets for populations with limited access to primary care and high risk for HIV infection. However, EDs rarely perform routine HIV screening due to logistical barriers. An electronic medical record (EMR)-driven routine opt-out HIV screening program was implemented in an urban academic ED and led to rapid scale-up of screening volume and detection of unknown HIV infection. The streamlined tool, requiring 4 mouse clicks, automates screening for eligibility, facilitates documentation of consent and orders the HIV test. HIV screening increased to a monthly average of 550 tests compared to an average of 7 tests prior to program implementation. Similar EMR innovations can be leveraged in a variety of other clinical settings and for testing of other diseases to improve clinical flow and outcomes.
机译：紧急部门（EDS）是常规HIV筛选的重要设置，因为它们是群体的安全网，获得初级保健和HIV感染的高风险。 然而，由于物流障碍，EDS很少进行常规HIV筛查。 电子医疗记录（EMR） - 驱动的常规选择退出艾滋病毒筛查计划在城市学术编辑中实施，并导致筛查量和检测未知艾滋病毒感染的速度快速扩大。 简化的工具，需要4次鼠标点击，自动筛选资格，便于同意的文档和HIV测试。 艾滋病毒筛查增加到每月平均550次测试，而在计划实施之前的7个测试相比之下。 类似的EMR创新可以在各种其他临床环境中利用，并用于测试其他疾病以改善临床流动和结果。

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