Shirye-shiryen da ba a daɗe ba, bayanin da ba daidai ba
Kwafi-manna yana ɗaya daga cikin ayyukan da ya fi dacewa ga masu amfani da kowane tsarin kayan lantarki. Abokan likitoci suna amfani da bayanan kiwon lafiyar lantarki (EHRs) don rubuta bayanai game da gamuwa da lafiyar jiki. Irin waɗannan bayanai sun haɗa da alamun da mai haƙuri ke bayar da rahoton, jarrabawar jiki, sakamakon gwajin, ganewar asali, kima da kuma tsare-tsaren kulawa. Lokacin da matsala ta kasance mai ci gaba ko na ci gaba, likita yana buƙatar rubutun bayanai game da wannan matsala a kan maimaita akai.
Domin haɓaka yadda ya dace, mai likita zai iya amfani da kwafi-kwaɗa don kawo kayan gaba na takardun daga wani rikodin zuwa gaba.
Yayin da kwafi-manna kayan aiki ne masu dacewa ga likitoci masu aiki, zai iya haifar da kurakuran kuskure, kuskure da yiwuwar haɗari a cikin EHR . An kuma damu da damuwa game da masu jinya ta yin amfani da kwafin-kwafi da kuma kwafi a cikin takardun ruwa, wanda ya haifar da rashin daidaito ko bayanan bayanan da aka ɗauka. Wannan labarin zai mayar da hankali ga magungunan asibiti na kwafin kwafi.
Bayanin da aka ƙayyade wanda yake shafi Kulawa da Nishaji
Babban matsalar ita ce bayanin da ya kasance daidai ya zama daidai idan ba a sabunta shi ba don nuna yanayin halin mai haƙuri. Tare da kwafi-manna, yana da sauƙi ƙwarai don watsa bayanin kuma saka manta don sabunta shi.
Alal misali, la'akari da bayanin nan na likita mai lafiya don ciwon huhu wanda yake tasowa daga hagu na hagu a rana ta uku na asibiti.
Kwararren likitan ya umarci duban dan tayi don sanin idan ƙarfin kafa ya kasance saboda mummunan hawan jini ( jini ). Takaitacciyar taƙaitaccen bayani a ƙarshen bayanin likita ya haɗa da bayanin lafiyayyen ciwon huhu tare da bayani mai zuwa:
"Hawan kumbun hagu. Mai daukar hoto na Venous Doppler ya umarce shi. "
Daga baya wannan rana, likitan ya fahimci cewa duban dan tayi ne mummunar.
Kashegari, domin ya adana lokaci, ta yi amfani da aikin kwafi-manna da kuma sanyawa wannan bayanin taƙaitacciyar daga ranar da ta gabata a cikin bayanin kula. Amma sai ta manta da sabunta bayanin kula da sakamakon duban dan tayi.
Tun da ta ba ta sabunta bayanan ba, rikodin yanzu ya dade kuma saboda haka ba daidai ba ne. Ya nuna cewa matsayi na duban dan tayi "umarni," amma an yi amfani da duban dan tayi kuma an san sakamakon.
Ƙananan Bayanan EHR da aka shiga tare da hannu
Kwanan baya, rikitaccen labarun likita zai iya shafar lafiyar mutum, musamman idan sauran likitoci (kamar kwararru da masu ba da shawara) sun dogara da bayanin kula don ci gaba da cigaba da ciwo. Ana iya haɓaka kuskuren idan an ƙaddamar da bayanin da ba daidai ba a cikin rikodin mai haƙuri a cikin EHR da kuma sauran hanyoyin sadarwa na kiwon lafiya.
Wannan matsala na iya faruwa ne a cikin rubutun inpatient da kuma fitar da fitar. A shekarar 2013, farfesa Farfesa Daryl Thornton na Jami'ar Western Western University a Cleveland ya jagoranci binciken da ya samu kashi 82 cikin dari na bayanan kulawa a cikin kulawa mai kulawa da ƙwararrun likitoci (a horo) da kuma kashi 74 cikin dari na bayanan da aka tsara ta hanyar halartar likitoci (cikakkiyar horo) akalla kashi 20 cikin 100 ko aka kwafi bayani a cikin ɓangaren da ke dauke da kima da shirin.
A watan Agustan shekara ta 2017, an buga wani binciken a cikin Journal of the American Medical Association (JAMA) wanda ya nuna halin da ake ciki game da kwafi-da-manna data kasance damuwa zuwa kwanan wata. Masu binciken daga Jami'ar California, San Francisco sun binciki abubuwan ci gaba da aka samu a cikin asibitocin da likitoci 460 suka rubuta a cikin watanni 8. Sun kammala cewa an shigar da hannu a kasa da kashi ɗaya cikin biyar na bayanan. Sau da yawa, likitoci sun kwafe ko sun shigo da shigarwarsu. Mazauna sun yi amfani da wannan fasaha fiye da dalibai na likita, wanda ya shiga kashi 10 cikin dari na bayanin kula da hannu.
Wani hasara na kwafi-manna shi ne ya hana ƙwararren likitoci daga yin amfani da ƙwarewar tunani mai zurfi wajen nazarin, taƙaitawa da kuma sadarwa da matsayin mai haƙuri a ci gaba.
Tare da kwafi-manna, bayanin ci gaba zai iya zama cikakke tare da karin bayani, bayanan da yake dadewa yayin kallo mafi muhimman bayanai game da matsayin mai haƙuri.
Halayen Kwaskwarima mafi kyau ga Rashin ƙari
Ƙungiyar Ma'aikatar Kula da Lafiya ta Amirka ta bada shawarar cewa " Yin amfani da aikin kwafi / manna a cikin EHRs ya kamata a yi izini kawai a gaban kasancewar kwamitocin fasaha da gudanarwa wanda ya hada da manufofi da hanyoyin aiki, bukatun don shiga cikin horo da ilimi da kuma kulawa . "
Yayin da kwafi-manna zai iya ƙara haɓaka a wasu yanayi, ana amfani da amfanin da za a yi la'akari da yiwuwar ƙirƙirar takardun da ba ta da yawa, rashin daidaito da kuma taƙaitacciyar taƙaitacciyar takardun shaida a cikin EHR.
Don ƙara haɓaka lafiya da kuma ingancin bayanan kula, an ba da shawarar da dama. Alal misali, a layi tare da asibiti na yanzu da kuma manufofi, an kwafa da kuma shigo da abun ciki ya kamata a iya ganewa a fili kuma ainihin mawallafi, lokaci da ranar shigarwa da aka lura. Har ila yau, marubuci na karshe ya bukaci sanin cewa shi ne ke da alhakin dukan abubuwan da aka sanya hannu a kan takardun. Wannan ya kamata karfafawa likitoci su sake sabuntawa da sake dubawa. Ƙungiyoyin kula da kiwon lafiya da dama suna hana ko ƙuntata dalibai daga kwashe bayanan.
Yawanci, an yi la'akari da tsarin kulawa mai auna da kuma auna, wanda ya buƙaci hada da ma'aikatan ilimi da kulawa da hankali ga bayanai.
> Sources:
> Patterson E, Sillars D, Moffatt-Bruce S, et al. Tsare-tsaren Kwaskwarima don Amfani da Kwafe-Kaya tare da Fassara Filaye a Saitunan Asibiti. Jt Com J mai haƙuri Saf . 2017; 43: 375-385.
> Ƙungiyar Kula da Lafiya ta Amirka. Amfani mai dacewa na Kwafi da Manna Ƙarfin aiki a Lissafin Kiwon Lafiyar Lissafi. 2014.
> Thornton JD, Schold JD, Venkateshaiah L, Lander B. Yanayin Bayani na Bayani da Bayyanawa da Mazauna a cikin Mahimmanci Ci gaban Ci gaba Bayanan kula. Abinda ke kula da hankali . 2013; 41 (2): 382-8. Doi: 10.1097 / CCM.0b013e3182711a1c.
> Wang M, Khanna R, Najafi N. Magana da Asalin Rubutun a cikin Lafiya na Lafiya Ci gaba Bayanan kulawa. JAMA Hoto Ciki . 2017; 177 (8): 1212-1213.
> Weis J, Levy P. Topics a Practice Management: Kwafi, Manna, da Cloned Notes a Bayanan Lafiya. Chest . 2014; 145: 632-638.