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Titulo Artículo:
Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.
Resumen:
BACKGROUND: Advances in information technology have increased remote access to the electronic health record (EHR). Concurrently, standards defining appropriate resident supervision have evolved. How often and under what circumstances inpatient attending physicians remotely access the EHR for resident supervision is unknown. OBJECTIVE: We described a model of attending remote EHR use for resident supervision, and quantified the frequency and magnitude of use. METHODS: Using a mixed methods approach, general medicine inpatient attendings were surveyed and interviewed about their remote EHR use. Frequency of use and supervisory actions were quantitatively examined via survey. Transcripts from semistructured interviews were analyzed using grounded theory to identify codes and themes. RESULTS: A total of 83% (59 of 71) of attendings participated. Fifty-seven (97%) reported using the EHR remotely, with 54 (92%) reporting they discovered new clinical information not relayed by residents via remote EHR use. A majority (93%, 55 of 59) reported that this resulted in management changes, and 54% (32 of 59) reported making immediate changes by contacting cross-covering teams. Six major factors around remote EHR use emerged resident, clinical, educational, personal, technical, and administrative. Attendings described resident and clinical factors as facilitating "backstage" supervision via remote EHR use. CONCLUSIONS: In our study to assess attending remote EHR use for resident supervision, attendings reported frequent remote use with resulting supervisory actions, describing a previously uncharacterized form of "backstage" oversight supervision. Future work should explore best practices in remote EHR use to provide effective supervision and ultimately improve patient safety.
Fecha de publicación:
2017.
Autores :
Tulla, Kiara;
Arora, Vineet M;
Farnan, Jeanne M.;
Meltzer, David O;
Martin, Shannon K;
Autor corporativo:
Journal of graduate medical education ,
Editores:
Biblioteca Virtual en Salud(BVS) ;
Signatura Topográfica:
6
Idioma:
Inglés
Páginas:
706
ISBN:
1949-8357
Existencias:
713
Palabras claves:
Organization and Administration
Information Technology
Residency
Público objetivo:
Posgrado
Docentes
Educadores Medicos
Titulo Artículo:
Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.
Resumen:
BACKGROUND: Advances in information technology have increased remote access to the electronic health record (EHR). Concurrently, standards defining appropriate resident supervision have evolved. How often and under what circumstances inpatient attending physicians remotely access the EHR for resident supervision is unknown. OBJECTIVE: We described a model of attending remote EHR use for resident supervision, and quantified the frequency and magnitude of use. METHODS: Using a mixed methods approach, general medicine inpatient attendings were surveyed and interviewed about their remote EHR use. Frequency of use and supervisory actions were quantitatively examined via survey. Transcripts from semistructured interviews were analyzed using grounded theory to identify codes and themes. RESULTS: A total of 83% (59 of 71) of attendings participated. Fifty-seven (97%) reported using the EHR remotely, with 54 (92%) reporting they discovered new clinical information not relayed by residents via remote EHR use. A majority (93%, 55 of 59) reported that this resulted in management changes, and 54% (32 of 59) reported making immediate changes by contacting cross-covering teams. Six major factors around remote EHR use emerged resident, clinical, educational, personal, technical, and administrative. Attendings described resident and clinical factors as facilitating "backstage" supervision via remote EHR use. CONCLUSIONS: In our study to assess attending remote EHR use for resident supervision, attendings reported frequent remote use with resulting supervisory actions, describing a previously uncharacterized form of "backstage" oversight supervision. Future work should explore best practices in remote EHR use to provide effective supervision and ultimately improve patient safety.
Fecha de publicación:
2017.
Autores :
Tulla, Kiara;
Arora, Vineet M;
Farnan, Jeanne M.;
Meltzer, David O;
Martin, Shannon K;
Autor corporativo:
Journal of graduate medical education ,
Editores:
Biblioteca Virtual en Salud(BVS) ;
Signatura Topográfica:
6
Idioma:
Inglés
Páginas:
706
Existencias:
713
Palabras claves:
Organization and Administration
Information Technology
Residency
Público objetivo:
Posgrado
Docentes
Educadores Medicos
Titulo Artículo:
Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.
Resumen:
BACKGROUND: Advances in information technology have increased remote access to the electronic health record (EHR). Concurrently, standards defining appropriate resident supervision have evolved. How often and under what circumstances inpatient attending physicians remotely access the EHR for resident supervision is unknown. OBJECTIVE: We described a model of attending remote EHR use for resident supervision, and quantified the frequency and magnitude of use. METHODS: Using a mixed methods approach, general medicine inpatient attendings were surveyed and interviewed about their remote EHR use. Frequency of use and supervisory actions were quantitatively examined via survey. Transcripts from semistructured interviews were analyzed using grounded theory to identify codes and themes. RESULTS: A total of 83% (59 of 71) of attendings participated. Fifty-seven (97%) reported using the EHR remotely, with 54 (92%) reporting they discovered new clinical information not relayed by residents via remote EHR use. A majority (93%, 55 of 59) reported that this resulted in management changes, and 54% (32 of 59) reported making immediate changes by contacting cross-covering teams. Six major factors around remote EHR use emerged resident, clinical, educational, personal, technical, and administrative. Attendings described resident and clinical factors as facilitating "backstage" supervision via remote EHR use. CONCLUSIONS: In our study to assess attending remote EHR use for resident supervision, attendings reported frequent remote use with resulting supervisory actions, describing a previously uncharacterized form of "backstage" oversight supervision. Future work should explore best practices in remote EHR use to provide effective supervision and ultimately improve patient safety.
Autores:
Tulla, Kiara
,
Arora, Vineet M
,
Farnan, Jeanne M.
,
Meltzer, David O
,
Martin, Shannon K
,
.
Titulo Revista:
Journal of graduate medical education ,
.
Numero:
6
Volumen:
9
Fecha de publicación:
2017.
Base de Datos Bibliográfica:
Biblioteca Virtual en Salud(BVS) ,
.
Suplemento:
Idioma:
Inglés
Página Inicial:
706
Página Final:
713
ISBN:
1949-8357
Palabras claves:
Organization and Administration
Information Technology
Residency
Público objetivo:
Posgrado
Docentes
Educadores Medicos
Título Biblioteca Virtual en Salud(BVS) :
Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.
Resumen:
BACKGROUND: Advances in information technology have increased remote access to the electronic health record (EHR). Concurrently, standards defining appropriate resident supervision have evolved. How often and under what circumstances inpatient attending physicians remotely access the EHR for resident supervision is unknown. OBJECTIVE: We described a model of attending remote EHR use for resident supervision, and quantified the frequency and magnitude of use. METHODS: Using a mixed methods approach, general medicine inpatient attendings were surveyed and interviewed about their remote EHR use. Frequency of use and supervisory actions were quantitatively examined via survey. Transcripts from semistructured interviews were analyzed using grounded theory to identify codes and themes. RESULTS: A total of 83% (59 of 71) of attendings participated. Fifty-seven (97%) reported using the EHR remotely, with 54 (92%) reporting they discovered new clinical information not relayed by residents via remote EHR use. A majority (93%, 55 of 59) reported that this resulted in management changes, and 54% (32 of 59) reported making immediate changes by contacting cross-covering teams. Six major factors around remote EHR use emerged resident, clinical, educational, personal, technical, and administrative. Attendings described resident and clinical factors as facilitating "backstage" supervision via remote EHR use. CONCLUSIONS: In our study to assess attending remote EHR use for resident supervision, attendings reported frequent remote use with resulting supervisory actions, describing a previously uncharacterized form of "backstage" oversight supervision. Future work should explore best practices in remote EHR use to provide effective supervision and ultimately improve patient safety.
Autores :
Tulla, Kiara;
Arora, Vineet M;
Farnan, Jeanne M.;
Meltzer, David O;
Martin, Shannon K;
Autor corporativo:
Journal of graduate medical education ,
Fecha de publicación:
2017.
Tipo :
Biblioteca Virtual en Salud(BVS) .
Idioma:
Inglés
Palabras claves:
Organization and Administration
Information Technology
Residency
Público objetivo:
Posgrado
Docentes
Educadores Medicos
Título Biblioteca Virtual en Salud(BVS) :
Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.
Resumen:
BACKGROUND: Advances in information technology have increased remote access to the electronic health record (EHR). Concurrently, standards defining appropriate resident supervision have evolved. How often and under what circumstances inpatient attending physicians remotely access the EHR for resident supervision is unknown. OBJECTIVE: We described a model of attending remote EHR use for resident supervision, and quantified the frequency and magnitude of use. METHODS: Using a mixed methods approach, general medicine inpatient attendings were surveyed and interviewed about their remote EHR use. Frequency of use and supervisory actions were quantitatively examined via survey. Transcripts from semistructured interviews were analyzed using grounded theory to identify codes and themes. RESULTS: A total of 83% (59 of 71) of attendings participated. Fifty-seven (97%) reported using the EHR remotely, with 54 (92%) reporting they discovered new clinical information not relayed by residents via remote EHR use. A majority (93%, 55 of 59) reported that this resulted in management changes, and 54% (32 of 59) reported making immediate changes by contacting cross-covering teams. Six major factors around remote EHR use emerged resident, clinical, educational, personal, technical, and administrative. Attendings described resident and clinical factors as facilitating "backstage" supervision via remote EHR use. CONCLUSIONS: In our study to assess attending remote EHR use for resident supervision, attendings reported frequent remote use with resulting supervisory actions, describing a previously uncharacterized form of "backstage" oversight supervision. Future work should explore best practices in remote EHR use to provide effective supervision and ultimately improve patient safety.
Autores :
Tulla, Kiara;
Arora, Vineet M;
Farnan, Jeanne M.;
Meltzer, David O;
Martin, Shannon K;
Autor corporativo:
Journal of graduate medical education ,
Fecha de publicación:
2017.
Paginas:
706.
ISBN:
1949-8357.
Idioma:
Inglés
Palabras claves:
Organization and Administration
Information Technology
Residency
Público objetivo:
Posgrado
Docentes
Educadores Medicos
Titulo Artículo:
Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.
Resumen:
BACKGROUND: Advances in information technology have increased remote access to the electronic health record (EHR). Concurrently, standards defining appropriate resident supervision have evolved. How often and under what circumstances inpatient attending physicians remotely access the EHR for resident supervision is unknown. OBJECTIVE: We described a model of attending remote EHR use for resident supervision, and quantified the frequency and magnitude of use. METHODS: Using a mixed methods approach, general medicine inpatient attendings were surveyed and interviewed about their remote EHR use. Frequency of use and supervisory actions were quantitatively examined via survey. Transcripts from semistructured interviews were analyzed using grounded theory to identify codes and themes. RESULTS: A total of 83% (59 of 71) of attendings participated. Fifty-seven (97%) reported using the EHR remotely, with 54 (92%) reporting they discovered new clinical information not relayed by residents via remote EHR use. A majority (93%, 55 of 59) reported that this resulted in management changes, and 54% (32 of 59) reported making immediate changes by contacting cross-covering teams. Six major factors around remote EHR use emerged resident, clinical, educational, personal, technical, and administrative. Attendings described resident and clinical factors as facilitating "backstage" supervision via remote EHR use. CONCLUSIONS: In our study to assess attending remote EHR use for resident supervision, attendings reported frequent remote use with resulting supervisory actions, describing a previously uncharacterized form of "backstage" oversight supervision. Future work should explore best practices in remote EHR use to provide effective supervision and ultimately improve patient safety.
Fecha de publicación:
2017.
Autor corporativo:
Journal of graduate medical education ,
.
Idioma:
Inglés
Palabras claves:
Organization and Administration
Information Technology
Residency
Público objetivo:
Posgrado
Docentes
Educadores Medicos
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Hola, encontré este documento en la biblioteca especializada en Educación Médica de ASCOFAME :Tulla, Kiara; Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.(2017). Podras consultarlo en el Siguiente link: https://ascofame.org.co/biblioteca/detalle_documento.php?id=2285
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Tulla, Kiara Arora, Vineet M Farnan, Jeanne M. Meltzer, David O Martin, Shannon K Tulla, Kiara Arora, Vineet M Farnan, Jeanne M. Meltzer, David O Martin, Shannon K Attending Physician Remote Access of the Electronic Health Record and Implications for Resident Supervision: A Mixed Methods Study.. 2017; 9Ed. 706.
