Iingcebiso ezivela kwi-American Medical Association
Ngoxa ukwamkela iirekhodi zezempilo ze-elektroniki (i-EHRs) kuye kwanda kwizicwangciso ze-ambulatory nezibhedlele, ababoneleli-nkxaso bempilo basalwela ukusebenzisa ii-EHR ngendlela efanelekileyo, efanelekileyo nekhuselekileyo. Uninzi lwe-EHR aluklanyelwe okanye luphunyezwe ngendlela ehambelana nokuhamba kwemisebenzi kunye neenkqubo zokucinga zamagqirha. Le ngxaki yokusebenza.
I-American Medical Association (AMA) icebisa ukuba iingxaki ezinkulu ze-EHR kufuneka ziqwalaselwe ukuphucula indlela abadokotela basebenzisa ngayo ii-EHR. Eli nqaku liza kuphonononga imiba yesibhozo yokusebenza kwaye ichaze indlela abaye bachaphazela ngayo amava am ngama-EHR amaninzi kwiminyaka.
"Ukuphucula amandla oogqirha ukuba banikele ngononophelo oPhezulu oPhezulu"
Oku kuqala kokubaluleka kokubaluleka kungathathwa njengetriki ephezulu yokugweba ukusetyenziswa kwe-EHR. Esikhundleni sokuphazamisa okanye ukunciphisa oogqirha, i-EHR kufuneka yenze ukuba ugqirha uphumelele kwaye uphumelele.
Enyanisweni, ukusebenzisa i-EHR kuvame ukuphazamisa ukuhlangana kwekliniki okanye ukuphazamisa ugqirha ekunakekeleni ngokufanelekileyo isigulane. Kulula ukuchitha isiqingatha sokuqeshwa ngaphakathi kwee-oda, ngokuchofoza kwizikrini ezininzi, kunye nokusingatha izilumkiso-ixesha eliya kulusebenzisa kakuhle ukuphulaphula nokuhlola isigulane.
"Inkxaso Yenkampani Ejongene Nenkxaso"
Ukunyamekelwa kweqela-based kwiziko eline-EHR akunakwenzeka ukuba i-EHR ayixhasi amayeza kunye neenkokheli zeqela ekunikezeni umsebenzi kumanye amalungu eqela. Akukho ncamango yeklinikhi yokufuna ukuba oogqirha benze imisebenzi e-EHR esekelwe ngumongikazi oqeqeshiwe okanye umncedisi wezokwelapha.
Ukuba umyalezo weekhompyutheni kunye nezigulane ziyingxenye ye-EHR, ke onke amalungu eqela leenkonzo zononophelo kufuneka akwazi ukusebenzisa le nto ukuze asebenze ukuxhumana ngokucacileyo nesigulane.
I-EHR kufuneka incede kunokuba ithintele abaqeqeshi bezempilo ekusebenzeni ngokugcwele ngokupheleleyo kwelayisenisi kunye namalungelo abo. Umsebenzi olula onjengokulandela umyalelo wokuma umkhuhlane wesibhedlele akufanele kuxhomekeke kumgqirha ongena kumyalelo.
"Ukukhuthaza ukuNxibelelaniswa koKhathalelo"
Ukulungelelaniswa kolondolozo kulo mongo ubuchule beqela lokunakekelwa kwempilo lilandele izigulane ekutshintsheni kwenkathalo, njengokuba umboneleli oyintloko ukhupha isiguli kwisiganeko okanye xa isiguli sigxothwa esibhedlele. Oku kugxininisa ukubaluleka kokubambisana kwintsebenziswano yolwazi lwezempilo ukuvumela ii-EHR kunye nezinye iinkqubo zeenkcukacha zekliniki ukwabelana ngolwazi lwesigulane.
"Ukunikezwa kweMveliso yeModularity kunye ne-Configurability"
Akunjalo wonke oogqirha okanye umbutho wezononophelo lwempilo unokuthenga nokusebenzisa i-EHR epheleleyo. Kodwa kukho imimandla eninzi phakathi kwamaphepha ephepha kunye ne-EHR epheleleyo. Abathengisi kufuneka banikeze i-EHR eyimfuneko enokuphuculwa ngeemodyuli ezongezelelweyo okanye ezongezelelweyo zenkxaso yesigqibo, i-portal portal, i-analytics kunye neminye imisebenzi.
I-Allscripts Open API iqhinga ngumzekelo wendlela ukusebenza kwe-EHR kunokwandiswa ngayo.
"Ukunciphisa Umthwalo Wemisebenzi Yengqondo"
I-Friedman's Fundamental Theorem ye-Biomedical Informatics ithi "umntu osebenza ngokubambisana nenkcazelo yolwazi 'ibhetele' kunokuba lowo mntu ofanayo angabonakali." Ugqirha osebenza ne-EHR kufuneka enze okungcono kunaloo dokotela ngaphandle kwe-EHR. Ngelishwa, i-EHR ngamanye amaxesha ihlawulisa amandla olwazi logqirha ngaphezu kokusebenzisa iirekhodi zamaphepha. Kunoko, i-EHR kufuneka incede amayeza ngokubonisa ulwazi olufanelekileyo ngexesha elifanelekileyo kwindawo elungileyo.
Umzekelo, i-EHR kufuneka ibonise iziphumo zokuvavanya eceleni kwewindow yokubhala umyalezo kwisigulane malunga neziphumo zovavanyo. Oku kubonakala ngathi ngumgaqo ocacileyo wokusebenza , kodwa akusoloko kubonakaliswe kuluhlu lwe-EHR yangoku.
Ngomnye umva wokuphela kwebala, kukho into enjalo njengolwazi oluninzi kumboniso we-EHR. Amanqaku aqhotyoshelwe kunye neemplates, uluhlu lweengxaki ezinzima kunye nezilumkiso eziphazamisayo zingaphazamisa oogqirha kwiinkcukacha ezibalulekileyo kwirekhodi yeklinikhi.
"Ukukhuthaza uLwabiwo-mali"
I-AMA ibiza abadayisi, i-Ofisi yoMququzeleli weSizwe weTheknoloji yoLwazi lwezeMpilo kunye nabanye abachaphazelekayo ukuseka imigangatho yokutshintshiselana kwedatha. Ukwabelana ngolwazi lwezempilo aluvumelekile ukuxhasa ukunakekelwa kweeklinikhi. Injongo kukufezekisa ukusebenzisana kwe-semantic, oko kukukwazi ukuba iinkqubo zeenkcukacha zeenkliniki ezingafaniyo ukutolika, ukuhlela kunye nokusebenzisa ulwazi oluchitshantshisiwe. Enye imbandela ebaluleke kakhulu kukukwazi ukufanisa isigulane nesigulane kuzo zonke iinkqubo zokunakekelwa kwempilo.
"Ukuququzelela ukubandakanya izigulane zeDividenti kunye neeMatriki"
Nangona ubuninzi beeteknoloji zezobuchwephesha zempilo ukubuyisela ukunakekelwa kwezempilo, inkqubela iya kugqitywa kwinqanaba apho amadivaysi kunye nesofthiwe ziyakwazi ukuthetha ngokungahambisani ne-EHRs. Ukungasebenzisani akufanele kubekwe kuphela ukudibanisa ii-EHRs komnye, kodwa kufuneka kudibanise zonke iinkqubo zeenkcukacha zenklinikhi, kubandakanya iipulatifomu zempilo zeselula.
"Ukufakelwa komsebenzisi wangaphandle kweMveliso yoKwakha kunye nokuPhumelela kokuPhunyezwa kweMpendulo"
Uninzi lwe-EHR lwaluyilwe ngenjongo yokuxhasa imisebenzi yolawulo kunye neentlawulo. Kodwa namhlanje, ii-EHR zikulindeleke ukuba zidlale indima enkulu ekuphuculeni iziphumo zempilo, iindleko zonyango, kunye neengxaki zesigulane (i-Triple Objective). Oku akuyi kwenzeka ngaphandle kokuba abathengi bafune kwaye bafaka igalelo kwiiklinikhi ekuyiyileni, ukuveliswa, ukuphunyezwa, nokuvavanywa kwe-EHRs.
Imithombo:
American Medical Association. Ukuphucula Ukunyamekela: Izinto eziphambili zokuPhucula ukuVimba kweeMpilo zeMpilo. Kufumaneka ngoSeptemba 27, 2014