Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;...Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;and research that found that it is time consuming. The purpose of this quantitative retrospective before-after project was to measure the impact of using the laboratory value flowsheet within the EHR on documentation time. The research question was: “Does the use of a laboratory value flowsheet in the EHR impact documentation time by primary care providers (PCPs)?” The theoretical framework utilized in this project was the Donabedian Model. The population in this research was the two PCPs in a small primary care clinic in the northwest of Puerto Rico. The sample was composed of all the encounters during the months of October 2019 and December 2019. The data was obtained through data mining and analyzed using SPSS 27. The evaluative outcome of this project is that there is a decrease in documentation time after implementation of the use of the laboratory value flowsheet in the EHR. However, patients per day increase therefore having an impact on the number of patients seen per day/week/month. The implications for clinical practice include the use of templates to improve workflow and documentation as well as decreasing documentation time while also increasing the number of patients seen per day. .展开更多
BACKGROUND: To invent a novel cardiopulmonary resuscitation(CPR) time point recorder to synchronously and automatically record the time and to identify its effectiveness in humans.METHODS: A CPR time point recorder wa...BACKGROUND: To invent a novel cardiopulmonary resuscitation(CPR) time point recorder to synchronously and automatically record the time and to identify its effectiveness in humans.METHODS: A CPR time point recorder was invented after the doctors were familiar with the traditional Utstein recovery registration mode and mastered the registration time points required. The progress of CPR was simulated. The standard and correct times were recorded, and the doctors performing the recovery collected the data about the times using our CPR time point recorder or the memory registration mode.RESULTS: The deviation times were 21.4±24.7 seconds for the memory group and 3.57±4.58 seconds for CPR time point recorder group. The deviation of times increased signifi cantly depending on the increase of the operation items in the memory group. A similar phenomenon was found in the timer group but with a smaller difference(P<0.01).CONCLUSION: A CPR time point recorder could reduce the deviation of operate-time, especially after a long-time operation, and for procedures with more operating items, compared with the memory mode. It was a more advantageous and accurate method for the Utstein registration.展开更多
The central and northwestern Tibetan Plateau region,also called＂Qiangtang Plateau＂（30°27＇25＂-35°39＇13＂N,83o41＇14＂-95°10＇46＂E）,is the highest and largest arcticalpine area of the Earth coveri...The central and northwestern Tibetan Plateau region,also called＂Qiangtang Plateau＂（30°27＇25＂-35°39＇13＂N,83o41＇14＂-95°10＇46＂E）,is the highest and largest arcticalpine area of the Earth covering approximately 600,000km^2 with altitude ranging from 4600 to 5100 m a.s.l.（Song et al.,2012,Fig.1）.展开更多
采用C#开发前端监测界面,集中导入教室配置信息,通过VLC插件播放录播设备实时传输流协议(Real Time Streaming Protocol,RTSP)流,利用FFmpeg工具获取设备状态,并以Windows服务方式实现后台实时监测。此系统改变了原有各教室独立记录和...采用C#开发前端监测界面,集中导入教室配置信息,通过VLC插件播放录播设备实时传输流协议(Real Time Streaming Protocol,RTSP)流,利用FFmpeg工具获取设备状态,并以Windows服务方式实现后台实时监测。此系统改变了原有各教室独立记录和监测的方式,实现跨校区、跨楼栋智慧教室录播设备状态集中监测和反馈,解决监测效率低、异常处理滞后、录制时间不准等问题,提升了录播系统维护效率,增强了系统稳定性和可靠性,更好地为课堂教学提供数字化服务。展开更多
Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread...Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread press coverage of ensuing chaos in clinical administration. We wanted to know how this new electronic system impacted on our working patterns in outpatient clinics and – more specifically – on the time actually spent with the patients. Material & methods: This study was performed 4 and 12 months after implementation of CRS to assess its impact on the time distribution in clinic. Senior doctors were monitored with a stop clock during consultations. Timings for pre- and post-consultation administration, and the actual consultation with the patient were recorded. A total of 170 consultations were evaluated in this way. Results: The key findings were that the total time needed to spend on a urological outpatient of 16 minutes remains unchanged from the pre-CRS era, but a majority (57%) of this time is spent in administration on the computer without the patient involved. Conclusion: No more than 15 patients should be seen in a 4 hour outpatient clinic per doctor. This recommendation drawn up by BAUS before CRS remains still valid. Patient administration related to the consultation that has previously been done by administrative aides is now to be done by the doctors on the computer in the same consultation session. Intended to streamline patient pathways, this does reduce the quality interaction-time between doctor and patients significantly.展开更多
文摘Research on the use of EHR is contradictory since it presents contradicting results regarding the time spent documenting. There is research that supports the use of electronic records as a tool to speed documentation;and research that found that it is time consuming. The purpose of this quantitative retrospective before-after project was to measure the impact of using the laboratory value flowsheet within the EHR on documentation time. The research question was: “Does the use of a laboratory value flowsheet in the EHR impact documentation time by primary care providers (PCPs)?” The theoretical framework utilized in this project was the Donabedian Model. The population in this research was the two PCPs in a small primary care clinic in the northwest of Puerto Rico. The sample was composed of all the encounters during the months of October 2019 and December 2019. The data was obtained through data mining and analyzed using SPSS 27. The evaluative outcome of this project is that there is a decrease in documentation time after implementation of the use of the laboratory value flowsheet in the EHR. However, patients per day increase therefore having an impact on the number of patients seen per day/week/month. The implications for clinical practice include the use of templates to improve workflow and documentation as well as decreasing documentation time while also increasing the number of patients seen per day. .
基金supported by funding from the NSFC(81671882,81471832)the Natural Science Foundation of Guangdong Province of China(2016A030311039)the Science and Technology Foundation of Guangzhou City of China(201605110853481)
文摘BACKGROUND: To invent a novel cardiopulmonary resuscitation(CPR) time point recorder to synchronously and automatically record the time and to identify its effectiveness in humans.METHODS: A CPR time point recorder was invented after the doctors were familiar with the traditional Utstein recovery registration mode and mastered the registration time points required. The progress of CPR was simulated. The standard and correct times were recorded, and the doctors performing the recovery collected the data about the times using our CPR time point recorder or the memory registration mode.RESULTS: The deviation times were 21.4±24.7 seconds for the memory group and 3.57±4.58 seconds for CPR time point recorder group. The deviation of times increased signifi cantly depending on the increase of the operation items in the memory group. A similar phenomenon was found in the timer group but with a smaller difference(P<0.01).CONCLUSION: A CPR time point recorder could reduce the deviation of operate-time, especially after a long-time operation, and for procedures with more operating items, compared with the memory mode. It was a more advantageous and accurate method for the Utstein registration.
基金supported by NSFC(grant no.41173015)the China Scholarship Council(CSC)National Education Ministry Doctoral Foundation(grant no. 20100211110020).
文摘The central and northwestern Tibetan Plateau region,also called＂Qiangtang Plateau＂（30°27＇25＂-35°39＇13＂N,83o41＇14＂-95°10＇46＂E）,is the highest and largest arcticalpine area of the Earth covering approximately 600,000km^2 with altitude ranging from 4600 to 5100 m a.s.l.（Song et al.,2012,Fig.1）.
文摘采用C#开发前端监测界面,集中导入教室配置信息,通过VLC插件播放录播设备实时传输流协议(Real Time Streaming Protocol,RTSP)流,利用FFmpeg工具获取设备状态,并以Windows服务方式实现后台实时监测。此系统改变了原有各教室独立记录和监测的方式,实现跨校区、跨楼栋智慧教室录播设备状态集中监测和反馈,解决监测效率低、异常处理滞后、录制时间不准等问题,提升了录播系统维护效率,增强了系统稳定性和可靠性,更好地为课堂教学提供数字化服务。
文摘Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread press coverage of ensuing chaos in clinical administration. We wanted to know how this new electronic system impacted on our working patterns in outpatient clinics and – more specifically – on the time actually spent with the patients. Material & methods: This study was performed 4 and 12 months after implementation of CRS to assess its impact on the time distribution in clinic. Senior doctors were monitored with a stop clock during consultations. Timings for pre- and post-consultation administration, and the actual consultation with the patient were recorded. A total of 170 consultations were evaluated in this way. Results: The key findings were that the total time needed to spend on a urological outpatient of 16 minutes remains unchanged from the pre-CRS era, but a majority (57%) of this time is spent in administration on the computer without the patient involved. Conclusion: No more than 15 patients should be seen in a 4 hour outpatient clinic per doctor. This recommendation drawn up by BAUS before CRS remains still valid. Patient administration related to the consultation that has previously been done by administrative aides is now to be done by the doctors on the computer in the same consultation session. Intended to streamline patient pathways, this does reduce the quality interaction-time between doctor and patients significantly.
