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EMR Precharting Efficiency in Internal Medicine: A Scoping Review
Journal of Medical Education and Curricular Development Pub Date : 2021-07-13 , DOI: 10.1177/23821205211032414
Chip A Bowman 1 , Horatio Holzer 1
Affiliation  

Purpose:

The act of precharting, or navigating the EMR to review a patient’s recent vitals, labs, notes, and other results, is something that is required of every clinician prior to effective rounding on patients. The purpose of this scoping review is to review the extant literature on precharting.

Methods:

Scholarly data through OVID on Medscape and grey literature were systematically searched with extensive inclusion criteria including the terms “Pre-round” “precharting” as well as “student” “education” or “teach” adjacent to “EMR” or “electronic medical record” or “electronic health record” or “documentation.” We collated this with “education, medical, undergraduate,” or “Students/medical.”

Results:

As of September 23, 2020, 241 scholarly articles were identified. No grey literature were identified. Inclusion criteria included full article access, English language, and covering the precharting topic. Seventeen articles met inclusion criteria and were included in the review. These articles included 1 direct observational study, 1 retrospective study, 2 qualitative studies, 5 EMR workshop trainings, 1 perspective piece, 1 curriculum analysis, and 6 articles based on survey measures. Of these articles, the majority were published recently, with 8 of the 17 published since 2018. Summary of the limited existing literature can be distilled into 3 findings: a need for timely EMR data extraction, the potential optimization of EMR workflow, and the benefit of time intensive EMR trainings.

Conclusions:

This scoping review explored the existing scholarly and grey literature to summarize the review of precharting and education surrounding navigating the EMR for medical students as a means of exploring the topic to determine current practices and identify areas of potential improvement.



中文翻译:

内科 EMR Precharting 效率:范围审查

目的:

预先绘制或导航 EMR 以查看患者最近的生命体征、实验室、笔记和其他结果的行为是每位临床医生在对患者进行有效四舍五入之前都需要做的事情。本次范围审查的目的是回顾现有的关于预先制图的文献。

方法:

通过 OVID 对 Medscape 和灰色文献的学术数据进行了系统搜索,包括广泛的纳入标准,包括与“EMR”或“电子病历”相邻的术语“Pre-round”“precharting”以及“student”“education”或“teach” ”或“电子健康记录”或“文件”。我们将其与“教育、医学、本科”或“学生/医学”进行了比较。

结果:

截至 2020 年 9 月 23 日,已确定 241 篇学术文章。没有发现灰色文献。纳入标准包括完整的文章访问、英语语言和涵盖预先绘制的主题。17 篇文章符合纳入标准并被纳入审查。这些文章包括 1 篇直接观察研究、1 篇回顾性研究、2 篇定性研究、5 篇 EMR 研讨会培训、1 篇透视文章、1 篇课程分析和 6 篇基于调查措施的文章。在这些文章中,大多数是最近发表的,17 篇中有 8 篇是 2018 年以来发表的。对有限的现有文献的总结可以归纳为 3 个发现:需要及时提取 EMR 数据、EMR 工作流程的潜在优化以及收益时间密集型 EMR 培训。

结论:

该范围审查探索了现有的学术和灰色文献,总结了围绕医学生电子病历导航的预先制图和教育的审查,作为探索该主题以确定当前实践和确定潜在改进领域的一种手段。

更新日期:2021-07-13
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