전자의무기록의 수행능력 향상을 위한 의료진 교육효과에 대한 실증 연구
An Empirical Study on the Educational Effects of Doctors for Performance Ability Improvement of Electronic Medical Records
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본 연구는 전자의무기록의 수행능력 향상을 위한 의료진 교육효과에 대한 실증 연구를 수행하였다. 2012년 5월 7일부터 8월 10일까지 수도권 소재 2개의 종합병원으로부터 퇴원환자 총 4,667명 중 214명의 전자의무기록의 미완결율을 조사하였다. 이를 토대로 연구자들이 미완결율이 가장 높은 6개 임상과 전공의 82명을 대상으로 전자의무기록 수행능력 향상을 위해 한 달간 교육을 실시하였다. 연구결과는 다음과 같다. 첫째, 미완결율이 교육실시 10일이 경과한 후에는 A병원(45.27±16.82), B병원(31.94±16.25) 각각 유의하게 감소하였다(p<.05). 둘째, A병원의 내과계는 교육 후 45일까지 외과계에 비해 교육 효과가 높았으나 60일이 경과한 후 외과계에 비해 교육효과가 14% 정도 급격히 저하되었다. 따라서 교육효과의 지속성을 유지하기 위해서는 임상과 환경에 맞는 다양한 교육프로그램 개발과 적절한 교육기간을 조절하는 것이 상당히 중요하다고 본다.
Abstract
The study conducted an empirical study on the educational effects of doctors for performance ability improvement of electronic medical records. The records of 214 patients among a total of 4,667 patients, who had been discharged during a month from two general hospitals in metropolitan area from May 7 to August 10 2012, were reviewed to examine incomplete recording rate in electronic medical records. On the other hand, based on the examination result, six clinical departments, which revealed the highest incomplete medical recording rates, were selected from two hospitals. Then researchers were performed during one month for education of 82 residents for performance ability improvement in electronic medical record. The results of this study were as follows; First, incomplete recording rates were significantly decreased in A hospital(45.27±16.82) and B hospital(31.94±16.25), respectively after 10 days of education(p<.05). Second, non-surgical department of A hospital was higher education effect than surgical department until 45 days, but it sharply dropped education effect than surgical department by 14% after 60 days of education. Therefore, in order to maintain persistent education effect, it is very important to determine the adequate education period and develop various education programs in clinical departments circumstance.
참고문헌 (10)
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