Mazano kubva kuAmerican Medical Association
Kunyange zvazvo kubvumirwa kwemabhuku ehutano ehutano (EHRs) kwawedzera mune zvekuchengetedza uye zvipatara, vatapi vezvehutano vachiri kurwisana kushandisa EHRs nenzira inoshanda, inobudirira, uye yakachengeteka. EHRs dzakawanda hazvigadzirwe kana kushandiswa nenzira inopindirana mumabasa ekufambisa uye maitiro ekufunga kwechiremba. Iri dambudziko rekushandisa.
IAmerican Medical Association (AMA) yakaronga kuti matambudziko makuru eEHR anogona kugadziriswa kunatsiridza nzira iyo vanachiremba vanoshandisa EHRs. Ichi chinyorwa chichadzorera nyaya dzisere dzekugadzirisa uye kurondedzera zvakakosha zvakasangana nezvakaitika muupenyu hwangu neEHR dzakawanda kuburikidza nemakore.
"Kuvandudza Physicians 'Unyanzvi Hwokupa Kuchengetedza Kwazvo Kushivirira"
Iko kushandiswa kwekutanga kwekutanga kunogona kutaridzirwa sematareji akawanda ekutonga kushandiswa kweEHR. Panzvimbo pokuvhiringidza kana kuderedza madakadzi, EHR inofanira kuita kuti chiremba ave anoshanda uye anoshanda.
Muzvokwadi, kushandiswa kweEHR kunowanzovhiringidzika kuchipatara kana kusanganisa chiremba pakubhadhara zvakakwana murwere. Zviri nyore kupedza hafu yekugadzwa kupinda murairo, kutarisa kuburikidza nezvikwangwani zvakasiyana, uye kubata nemaziso ekupupurira-nguva inenge iri nani kupedza kuteerera nekuongorora murwere.
"Kutsigira Nhengo-Kubatsira Kwazvo"
Kubatanidzwa kwechikwata munharaunda ine EHR haikwanisi kana EHR isingatsigire vanachiremba uye vatungamiri veboka mukugovera basa kune dzimwe nhengo dzeboka. Hapana chikonzero chekuchirapa chekuda kuti vanachiremba vaite mabasa EHR-based iyo mukoti akadzidziswa zvakakodzera kana mubatsiri wezvechiremba angaita.
Kana kuendesa mameseji nevarwere chinhu chinoitwa neEHR, ipapo nhengo dzose dzeboka rehutano hwezvehutano dzinofanirwa kushandisa sarudzo iyo kuti iite kutaurirana pachena nemurwere.
IEHR inofanira kubatsira panzvimbo pokudzivisa vashandi vehutano mukushanda zvakakwana zvakakwana zvekuregererwa kwavo uye ropafadzo. Basa rakaoma sekutevera urongwa hwakamira hwehutachiona hunofanirwa haufaniri kuvimba nechiremba anopinda mutemo.
"Kurudzira Kubatsira Kurongeka"
Kuchengetedza kurongeka munharaunda iyi ndiko kukwanisa kwekambani yekuchengetedza hutano kutevera varwere kudarika kuchinja kwekutarisirwa, sekunge apo munhu wekutanga anotarisira anotaura murwere kune unyanzvi kana kana murwere achibudiswa kuchipatara. Izvi zvinosimbisa kukosha kwekubatanidza mune zvehutano ruzivo rwekushandura kubvumira EHRs nezvimwe zvirongwa zvehutano zvechipatara kugovana dambudziko revarwere.
"Govera Product Modularity uye Configurability"
Haasi chiremba wose anoshanda kana sangano rekuchengetedza utano rinogona kutenga nekushandisa zvakazara EHR. Asi pane nzvimbo yakawanda pakati pezvinyorwa zvepepa uye EHR yakazara. Vatengesi vanofanira kupa hutano hweEHR hunogona kuwedzerwa nevhudziro kana kuti 3rd add-on modules zvekutsigira chisarudzo, varwere portal, analytics, nemamwe mabasa.
The Allscripts Open API initiative ndiyo muenzaniso wekuti kushanda kweEHR kunogona kuwedzerwa sei kuburikidza nekugadzirisa.
"Deredza Kuderedza Basa Rokufunga"
Friedman's Fundamental Theorem yeByomedical Informatics inotaura kuti "Munhu anobata pamwe nekudzidziswa kwemashoko 'zviri nani' kupfuura munhu iyeye asina kusimbisa." Chiremba anoshanda neEHR anofanira kuita zviri nani kudarika chiremba iyeye asina EHR. Zvinosuruvarisa, iyo EHR dzimwe nguva inotengesa kugona kwechiremba kukwanisa kudarika kushandisa mapepa emapepa. Pane kudaro, EHR inofanira kubatsira vanachiremba nekuratidza mashoko akanaka panguva yakakodzera munzvimbo yakakodzera.
Semuenzaniso, EHR inofanira kuratidza mhinduro yekuyera pamwe nehwindo yekunyora mharidzo kumurwere pamusoro pemigumisiro yekuedza. Izvi zvingaita sezviri pachena kushandiswa kwemitemo , asi haisi nguva dzose inoratidzirwa mukugadzirwa kweEHRs ikozvino.
Kune rumwe rutivi kuguma kwemitambo, kune chinhu chakadai semashoko akawanda kwazvo muEHR kuratidzira. Mhemberero dzakarongedzwa nematura, mazita ezvinetso zvakakomberedzwa, uye zvikanganiso zvinokanganisa zvinogona kuvhiringidza vanachiremba pamashoko anokosha munhoroondo yekliniki.
"Kurudzira Kudzora Kwezvinhu"
AMA inoshevedza vatengesi, hofisi ye National Coordinator for Health Information Technology, uye nevamwe vanobatana kuti vadzike mitemo yekugadzirisa kudhindwa kwemashoko. Utano hwehutano shanduko hahukwanisi kutsigira kutarisirwa kwekliniki. Chinangwa ndechokuita kushandiswa kwemashoko, iyo inyanzvi yekuparadzanisa zvidzidzo zvekliniki kushandura, kuronga, nekushandisa mashoko akachinjana. Imwe nyaya yakakosha zvikuru inyanzvi yekufananidza zvirwere zvevarwere pane zvese zvekuchengetedza utano.
"Shandisai Digital uye Mobile Mobile Mushandirapamwe"
Pasinei nekukwanisa kukuru kwehutano hwehutano hwehutano hunoita kuti hutano hwezvehutano hwakanaka huvepo, hufambira mberi huchagadziriswa nehuwandu hwekugadzirisa zvigadzirwa nemapurogiramu zvinogadziriswa neEHRs. Kusabatanidzwa hakufaniri kungorega kubatanidza EHRs kune mumwe kune mumwe, asi kunofanirwawo kusanganisira masangano ose ehutano ehutachiona, kusanganisira mafambiro ehutano emafoni.
"Expedite User Input mu Product Design uye Post-Implementation Feedback"
Mazhinji EHRs aimbogadzirwa kuti atsigire kutungamira uye kubhadhara mabasa. Asi nhasi, EHRs inotarisirwa kuti iite basa guru pakunatsiridza migumisiro yehutano, mararamiro ekuchengetedza utano, uye kusangana nemwoyo murefu (Triple Purpose). Izvi hazvizoitiki kunze kwekuti vatengesi vatsva uye vashandise mazano kubva kuvakirini mukugadzira, kubudisa, kushandiswa, uye kuongororwa kweEHRs.
Sources:
American Medical Association. Kuvandudza Kutarisirwa: Zvinotangira Kuvandudza Kodhidhi Yehutano Kuresa Kugona. Yakasvika musi waSeptember 27, 2014