Ukupapashwa kwangaphambili, ulwazi olungachanekanga
Ukukopisha-unamnye ngowona misebenzi ewuncedo kakhulu ekhoyo kubasebenzisi banoma iyiphi nayiphi na inkqubo yoxwebhu lwekhompyutheni. Oogqirha basebenzisa iirekhodi zezempilo ze-elektroniki (EHRs) ukuba baqaphele iinkcukacha zenkxaso yezempilo. Iinkcukacha ezinjalo zibandakanya iimpawu ukuba isigulane sichaza, ukuhlolwa ngokomzimba, iziphumo zokuvavanya, ukuxilongwa, ukuhlolwa kunye nezicwangciso zonyango. Xa ingxaki yesigulane iphindaphindiweyo okanye ingapheliyo, ugqirha kufuneka ahlaziye ukuhlaziywa kwimiba efanayo ngokuphindaphindiweyo.
Ukuze ukwandise usebenze kakuhle, ugqirha unokusebenzisa ikopi-yokunamathisela ukuzisa iingxenye ezihamba phambili zamaphepha ukusuka kwirekodi enye ukuya elandelayo.
Ngoxa iikopi-unamathele isilungiselelo esilungeleyo kwiiklinikhi ezixakekileyo, kunokukhokelela ekuphosakekeni okungafanelekanga, okukhohlisayo kunye nokwenzekayo kwi- EHR . Iingxalaba ziye zaphakanyiswa malunga nabahlengikazi basebenzisa ikopi-yokunamathisela kunye nekopi-phambili kwiimakhishithi ezikhupha, ezibangelwa ulwazi olungenakulungile okanye olungapheliyo olwenziwa. Eli nqaku liza kugxininisa kwiimfumba zeklinikhi zekopi engafanelekanga.
Ulwazi oludlulileyo oluchaphazela ukunakekelwa koMonde
Ingxaki ebalulekileyo kukuba ulwazi oluye lwaluchanekile lube luchanekile ukuba aluhlaziyiweyo ukubonisa isimo samanje sesigulane. Ngekopi-unamathisele, kulula kakhulu ukusazisa ulwazi kunye nokunyaniseka ukuyihlaziya.
Ngokomzekelo, cinga le nkcazo elandelayo yesigulane esibhedlele ngenxa yempumoniya eyenza ukuvuvukala komlenze wesobunxele ngosuku lwesithathu kwisikolo esibhedlele.
Ugqirha oya kwii-ultrasound ukufumana ukuba ukuqhuma komlenze kubangelwa intlanzi (i- clot blood ). Isishwankathelo esifutshane kwiphepha lonyango liquka inkcazelo yonyango lwe-pneumonia kunye nesitatimende esilandelayo:
"Ukunyakaza komlenze wesobunxele. I-Venous Doppler ultrasound yalela. "
Kamva ngaloo mini, ugqirha ufunda ukuba i-ultrasound ayibi.
Ngomhla olulandelayo, ukuze ugcine ixesha, usebenzisa umsebenzi wekopi-unamathisela kwaye ufaka isitatimende esifanayo kwisishwankathelo sangaphambili ukusuka kwinqumle. Kodwa uyakunyanzelisa ukuhlaziya inqaku kunye neziphumo ze-ultrasound.
Ekubeni akazange ahlaziywe ulwazi, irekhodi lidlulileyo kwaye ke ngoko lingahambelani. Ithi isimo se-ultrasound "siyalwe," kodwa i-ultrasound iye yenzelwe kwaye iziphumo ziyaziwa.
Ambalwa kwaye ambalwa amanqaku e-EHR angene ngesandla
Ixesha elidlulileyo, iirekhodi zonyango ezingachanekanga zingathintela ukhuseleko lwezigulane, ngakumbi xa ezinye iikliniki (njengeengcali kunye nabacebisi) zithembela kwiphepha ukuba zihlale zihambelana nenkqubela yesigulane. Ubungakanani bephutha landa xa ulwazi oluchanekileyo lusasazwa kwirekhodi lomguli kwi-EHR nakwezinye iinkqubo zeenkcukacha zezempilo.
Le ngxaki inokuvela kwiirekhodi ezingapheliyo kunye nezigulane. Ngo-2013, unjingalwazi oncedisayo uDaryl Thornton we-Case Western Reserve University e-Cleveland wahombisa uphando oluthole i-82 ekhulwini lwamanqaku kwinqununu yokunyamekela eyakhiwe ngabagqirha abahlala kulo (ekuqeqesheni) kunye nama-74 ekhulwini lwamanqaku adalwe ngokuya kumayeza (aqeqeshiwe ngokupheleleyo) equlethwe ubuncinane iipesenti ezingama-20 zakopisha ulwazi kwicandelo elinokuhlola kunye nesicwangciso.
Ngo-Agasti 2017, uphando luye lwapapashwa kwi-Journal ye-American Medical Association (i-JAMA) ebonisa ukuba imeko ephathelele idatha yokukopisha kunye neenkcukacha ihlala ixhalabile ukuya kumhla. Abaphandi abavela kwiYunivesithi yaseCalifornia, eSan Francisco bahlalutya amanqaku enquba ephambili enyango abhalwe ngabagqirha abangama-460 kwiinyanga ezili-8. Baphetha ukuba ngaphantsi kweyesihlanu kwimiqulu yafakwa ngesandla. Ngokuqhelekileyo, oogqirha bakopishe okanye bangenise ukungena kwabo. Abahlali basebenzisa izi ndlela ngokuphindaphindiweyo kubafundi bezonyango, abafudula bangena ngaphezulu kweepesenti ezili-10 zamanqaku abo ngesandla.
Enye inzuzo yokukopisha-yokunqongophala kukuba kukudambisa amakliniki ekusebenziseni izakhono ezibalulekileyo zokucinga ekuhlalutheni, ukushwankathela nokuthetha ngesimo sengigulane kwiimpawu eziqhubekayo.
Ngekopi-unamathisele, amanqaku enquba angakwazi ukukhutshwa ngokulula kunye nolwazi oludlulileyo, ngeli xesha lifihla iinkcukacha ezibalulekileyo malunga nesimo somguli.
Eyona ndlela iSebenzise Iingcebiso kwiNgcaciso yeeNgcaciso
I-American Health Management Management Association ikhuthaza ukuba " Ukusetyenziswa kwekhophi / ukukhonkxa komsebenzi kwi-EHR kufuneka kuvunyelwe kuphela phambi kolawulo oluqinileyo lobugcisa kunye nolawulo olubandakanya imigaqo-nkqubo yeenkqubo kunye neenkqubo, iimfuno zokuthatha inxaxheba ekuqeqesheni umsebenzisi kunye nemfundo kunye nokuhlola okuqhubekayo . "U
Nangona iikopi-unamathelwano inokunyusa ukwenziwa kweemeko kwiimeko ezithile, izibonelelo kufuneka zilinganiswe ngokusemandleni okudala ixesha elidlulileyo, elichanekileyo kunye nexesha elingenamfuneko kwi-EHR.
Ukwandisa ukhuseleko lomguli kunye nomgangatho wamanqaku, izicwangciso ezahlukeneyo zicetywayo. Umzekelo, ngokuhambelana nemigaqo-nkqubo yebhedlele kunye neziko, ukukopishwa kunye nokungeniswa kweemveliso kufuneka kubonakaliswe ngokucacileyo kwaye umbhali wokuqala, ixesha kunye nomhla wokungena kuphawulwe. Kwakhona, umbhali wokugqibela kufuneka aqonde ukuba unembopheleleko kuwo wonke umxholo wesaxwebhu esayinwe. Oku kufuneka kukhuthaze oogqirha ukuba bahlaziywe ngokukhawuleza baze bahlaziye amanqaku abo. Amanyango amaninzi enyango lwempilo ngoku awanqanda okanye avimbela abafundi ukuba bakophe amanqaku.
Ngokuqhelekileyo, indlela eqikelelweyo nengqiqo iyanconywa, efuna ukubandakanya imfundo yabasebenzi kunye nokubeka iliso ngokuchanekileyo kwamanqaku.
> Imithombo:
> Patterson E, uSillars D, uMoffatt-Bruce S, et al. Iindlela eziKhuselekileyo zokuSebenza koKhuphela-Ukuhamba kunye namaSpredishithi okuHlaphaza kwiNkcukacha zeziBhedlele. Jt Com J Qual Patient Saf . 2017; 43: 375-385.
> UMbutho wezoLwazi lwezeMpilo waseMelika. Ukusetyenziswa ngokufanelekileyo kweKopi kunye nokuSebenza koMsebenzi kwiiRekhodi zeMpilo ze-elektroniki. 2014.
> Thornton JD, uSchold JD, uVenkateshaiah L, uLander B. Ubuninzi boLwazi oluCatshulwa yiNtlanganiso kunye nabahlali kwiNqaku eliPhambili lokuNakekelwa kweNkcazo. Crit Care Med . 2013; 41 (2): 382-8. i-doi: 10.1097 / CCM.0b013e3182711a1c.
> Wang M, uKhanna R, uNajafi N. Ukubonakalisa uMthombo Wombhalo kwiNkcukacha zeNgcaciso zeMpilo zeNkcukacha zeMpilo. JAMA lwangaphakathi lweMithi . 2017; 177 (8): 1212-1213.
> Weis J, Levy P. Izihloko zoLawulo lokuSebenza: Kopisha, Namathisela, kunye neeNqaku eziContiweyo kwiiRekhodi zeMpilo ze-elektroniki. Esifubeni . 2014; 145: 632-638.