التفاصيل البيبلوغرافية
| العنوان: |
Efficient Workflow Analysis to Address Paper Persistence in Tuberculin Testing. |
| المؤلفون: |
Thompson SA; Children's Healthcare of Atlanta, Atlanta, GA., Dawson E; Children's Healthcare of Atlanta, Atlanta, GA., Kandswamy S; Emory University School of Medicine, Atlanta, GA., Orenstein E; Children's Healthcare of Atlanta, Atlanta, GA.; Emory University School of Medicine, Atlanta, GA. |
| المصدر: |
Studies in health technology and informatics [Stud Health Technol Inform] 2024 Jul 24; Vol. 315, pp. 52-57. |
| نوع المنشور: |
Journal Article |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: IOS Press Country of Publication: Netherlands NLM ID: 9214582 Publication Model: Print Cited Medium: Internet ISSN: 1879-8365 (Electronic) Linking ISSN: 09269630 NLM ISO Abbreviation: Stud Health Technol Inform Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Amsterdam ; Washington, DC : IOS Press, 1991- |
| مواضيع طبية MeSH: |
Workflow* , Electronic Health Records* , Tuberculin Test* , Decision Support Systems, Clinical*, Humans ; Latent Tuberculosis/diagnosis ; Paper ; Documentation |
| مستخلص: |
Despite widespread adoption and maturity, paper persistence endures in many Electronic Health Record (EHR) systems, particularly for complex workflows involving multiple steps from different stakeholders separated in time. In our health system, Latent Tuberculosis Infection (LTBI) testing was one such workflow where a Tuberculin Skin Test (TST) must be administered and then correctly read 48-72 hours later and documented. This paper discusses a low-resource workflow analysis and clinical decision support approach to replace a paper workflow and garner the benefits of the EHR for clearer documentation and retrieval of LTBI results. Our approach resulted in a significant increase in completed TST documentation, 57% (24/42) to 95% (18/19), P < 0.003. Human-centered design practices such as work system analysis and formative usability testing are feasible with limited resources and improve the likelihood of success of electronic workflows by designing solutions that fit existing clinical workflows and automating processes wherever possible. |
| فهرسة مساهمة: |
Keywords: Electronic health records; nurse documentation; paper persistence; redesign; workflow evaluation |
| تواريخ الأحداث: |
Date Created: 20240725 Date Completed: 20240725 Latest Revision: 20240725 |
| رمز التحديث: |
20240726 |
| DOI: |
10.3233/SHTI240105 |
| PMID: |
39049225 |
| قاعدة البيانات: |
MEDLINE |
