Clinical Notes AI: Kugabanya Gusama Abakozi mu Buvuzi

Ikibazo: Kuki Kwandika Amakuru mu buryo bwa Gakiragutse Bya Birenzeho Kuvunira Abakozi mu Buvuzi

Umurimo wo kwandika amakuru y'ubuvuzi si ikintu cyo kwirirwa gusa; ni ikibazo gikomeye gifite ingaruka zikomeye. Mu myaka myinshi, abakozi mu buvuzi bagiye bahatirwa guhitamo hagati yo kwita ku barwayi babigize ubushake no kwandika buri kimwe mu buryo bwuzuye kugira ngo byubahirize amategeko no kwishyuza.

Imibare igaragaza ikibazo gikomeye:

Abaganga bakoresha, ku mazero, amasaha 1.84 ku munsi mu bikorwa bijyanye na EHR mu gihe cy'akazi kabo ka buri munsi – icyo twita "pajama time" cyangwa "amasaha yo gusama".

Abakozi 82% bagaragaza ko imirimo yo gutanga ubufasha, harimo no kwandika, ari yo ntandaro ya mbere yo gusama.

Si ikibazo cyo gukora cyane gusa. Ibi bikorwa byinshi byo mu murimo bifata ku ngufu biheza mu guhitamo ubuzima bwiza bw'abarwayi. Mu gihe umukozi mu buvuzi arimo atekereza ku kwandika, ntabwo ashobora kuba ari hafi y'umuntu rwose. Ibintu bito birasibamye. Umuco wo kwizerana ushobora kwangirika kubera kwandika buri gihe. Byongeye kandi, igitutu gikomeye ni impamvu nyamukuru yo gushaka ibisubizo byo kugabanya gusama kw'abakozi mu buvuzi no kongera ubuzima bwiza bw'aba bakozi b'ingenzi mu buvuzi. Intego igomba kuba kwandika kwigobotora igihe cyo kwandika kugira ngo wite ku kintu cy'ingenzi: abashyitsi bawe.

Clinical Notes AI ni iki kandi Ikora Bite?

Mu kintu cyayo, clinical notes AI ni umufasha ufite ubuhanga buhanitse uhindura ibice byinshi bikorwa mu murimo wawe wo kwandika.

Koresha ikoranabuhanga ryuzuye kugira ngo ihindure ikiganiro gisanzwe cyangwa ijambo mu nyandiko y'ubuvuzi yuzuye kandi yubahiriza amategeko.

Mbere na mbere, dore uko ibintu bikora:

• Ijwi-ku-Binyagira ku Bakozi mu Buvuzi: Ihindura ry'ijwi rya mbere rihindura amagambo yavugiye mu buryo bwuzuye.

• Ambient AI: Inguni nyinshi zikoresha "ambient" kumva. Ibi bivuze ko AI ishobora gufata buri kimwe mu biganiro bigaragara hagati y'abarwayi (buri gihe hari uburenganzira bw'umukoresha) utagomba gutanga amabwiriza.

• Natural Language Processing (NLP): Iri ni ryo "ubwonko" bw'akazi. NLP y'ibinyagira yigenga indimi z'ubuvuzi, ibisobanuro, n'imihindagurikire. Yishobora gutahura ibisobanuro na bizima mu biganiro kandi ikabishyira mu buryo bwiza.

Ibyo byose biteza akazi koroheye kandi karimo ubuhanga mu byiciro bitatu bifasha guhindura buri kimwe mu bikorwa byawe byo kwandika:

1. Gufata Amajwi / Kwandika: Ufata amajwi y'umukoresha ufite uburenganzira bwe ukoresheje porogaramu ikoreshwa ku buryo bwigenga, uburyo bwo gufunga, cyangwa telefone yawe. Icyakora, ushobora gutanga ijambo ry'ibyo utekereza ako kanya nyuma yo guhura.

2. Gukora / Kwandika: AI irakora. Mu minota, ihindura amajwi yose kandi ikoresheje ubwenge bwayo kugira ngo ihindure inyandiko y'ubuvuzi yuzuye. Irashobora gutegura amakuru mu buryo bwa SOAP, DAP, cyangwa ikindi cyitegererezo cyawe, ivana imyandikire yihuse y'iterambere ry'umukoresha.

3. Gusuzuma & Guhuza: Urimo gusuzuma uwapfuye. Urimo gusuzuma uwapfuye, ushobora kwandika amakuru yihuse kandi ufite imbaraga, kandi uhise uyohereza mu buryo bwa EHR.

Ibi bice bishobora guhinduka mu kwandika n'intoki, bigakurinda kwandika buri gihe, bigatuma wite ku muntu uri imbere yawe.

Inyungu 5 Z'ingenzi zo Kwemera AI mu Kwandika Amakuru y'Ubuvuzi

[ISHUSHO: clinical ai]

Kwishyira hamwe AI medical scribe mu buvuzi bwawe si impinduka ntoya mu murimo. Ni impinduka nyamukuru itanga inyungu zidasanzwe kuri wowe, ubushakashatsi bwawe, n'abarwayi bawe.

1. Kwizigama Kw'umubare munini w'igihe

Ibi ni byiza cyane kandi bifatika. Abakozi mu buvuzi bakoresha ibi bikoresho bavuga ko bashoboye kwizigama 60-80% by'igihe bajyaga babazaho kwandika. Tekereza ibyo washobora gukora ufite amasaha abiri cyangwa arenga. Ni igihe cyinshi cyo kwita ku barwayi, igihe cyinshi cyo kwitegura, cyangwa igihe cyo kubaho ubuzima bwawe. Uzishobora kwizigama igihe cyo kwandika.

2. Kugabanya Gusama & Kongera Ubuzima

Mu kugabanya "pajama time" yo ku manywa, ushobora kurema ubuzima bwiza burimo akazi n'ubuzima bwawe. Igiherezo cyo kwandika buri gihe kirashira. Ibi bihinduka mu kintu cyingenzi cyo kwirinda igitutu cyo mu murimo kandi ni ikintu gikomeye cyo kugabanya gusama kw'abakozi mu buvuzi, kuguha imbaraga kandi bikagusura mu murimo wawe.

3. Kongera Kwita ku barwayi no Guhuza

Mu gihe utari mubyo kwandika, ushobora kubona amaso, kubona ibimenyetso byoroheje, no kwubaka umubano mwiza. Abashyitsi baterwa icyizere kandi bagahabwa agaciro. Ikoranabuhanga riza mu kizamini, rigatuma ubumuntu bubaho. Ibi ni byiza cyane kubera gukoresha ambient AI clinical notes.

4. Kongera Ubuzima bw'inyandiko & Kwizera

Kwibuka kw'abantu biradukunda, cyane cyane nyuma y'umunsi muremure w'ibitaramo bikurikirana. AI medical scribe ifata buri kimwe mu biganiro, ibyo byemeza ko ibintu bikomeye, imvugo, n'ibintu bito bitasibamye. Ibi bitera inyandiko z'ubuvuzi zuzuye, zizewe, kandi zibereye kwemeza, ari ingenzi cyane kubwizera mu kwita ku barwayi no kubahiriza amategeko.

5. Kwishyuza vuba & Gutanga Ingurane

Inyandiko zujuje ubuzima, zuzuye, kandi zubahiriza amategeko ni zo zishingiyeho cycle y'ubuhinzi bw'umutungo. Mu kwemeza ko inyandiko zawe zuzuye buri gihe kandi zoherejwe ku gihe, ushobora kwihutisha kwishyuza no gutanga ingurane kwa mbere. Ubu buryo bw'AI clinical documentation bukongera ubuzima bw'akazi kawe hose.

Ibintu Bikenewe: Ni gute Wahitamo AI Y'inyandiko z'Ubuvuzi

Isoko ry'ibi bikoresho ryarazamutse cyane, kandi ntabwo ibisubizo byose bisa. Mu gihe waba uri gusuzuma ibihitamo byawe, hari ibintu byinshi utemereye ugomba kwihitiramo kugira ngo wemeze ko wahisemo ikintu cyizewe, gifite ubuzima, kandi gishobora kuguruka.

Umutekano & Kwubahiriza Amategeko: Icyingenzi Cyane

Mu buvuzi, umutekano si ikintu cyo kwirinda gusa; ni ikintu cy'ingenzi.

* Guhindura HIPAA: Ibi ni byo bya mbere. Shaka umugurisha uzashyira umukono ku masezerano n'umugurisha. HIPAA compliant AI scribe si uburenganzira.

* Ibihamya: Jya hejuru y'umutekano usanzwe. Ibihamya nka SOC 2 na GDPR bigaragaza ko umugurisha yemeye gutanga ibikorwa byujuje ubuzima.

* Guhagarara kw'Ibyo Wafashe: Baza ku byerekeranye n'inyandiko zawe. Mbese batera inkunga amahitamo yo kutazigama? Mbese ibintu byose bizashyirwa mu buryo bwikubiye kandi bishobora gukoreshwa? Ukeneye umufatanyabikorwa uzakomeza kwita ku byo abarwayi bawe.

Kwihuriza na EHR

Ikindi kintu kibyara akazi kenshi si ikindi kintu. Icyo gikenewe ni uguhindura akazi kawe, bivuze ko AI igomba gukora mu buryo bworoshye hamwe n'ikoranabuhanga ryawe ry'ubuvuzi (EHR).

* Kwishyiramo & Kwandika Byihuse: Shaka ibisubizo bitera inkunga EHR integration AI. Ibi bikoresho bishobora gutuma ubyihuriza n'ibitaramo bikomeye nka Simple Practice, Cliniko, AthenaHealth, Cerner, n'ibindi. Icyakora, bigomba gutanga uburyo bwo kwandika bushobora gukoreshwa n'ikoranabuhanga iryo ari ryo ryose rishingiye ku internet.

Kwishyira mu buryo no Guhindura Ibitabo

Inyandiko zawe zihariye kubw'ubuhanga bwawe, imihindagurikire yawe, n'ibikenewe ku kazi kawe. Uburyo bumwe nt bushobora gukora.

* Ibitabo byihariye: Ikintu gikomeye kizagufasha kwandika no gufata ibitabo byawe. Mbese ukoresha SOAP, DAP, GIRP, cyangwa uburyo bwihariye, AI igomba kuba ishobora guhindura ibikoresho kugira ngo bibashyire mu byikenewe. Ibi ni ingenzi cyane kubw'AI for behavioral health notes, aho uburyo bwihariye bugomba kugenda.

Kwigisha Kw'ubuhanga Ubwihariye

Porogaramu yo gutanga amagambo isanzwe irashobora kwirinda amagambo y'ubuvuzi n'ibintu by'ubuvuzi, cyane cyane mu buzima bw'abana n'abanyantege nke.

* Kwambara mu buvuzi: Shaka ibikoresho byigishijwe mu ndimi z'ubuvuzi. Ibisubizo byiza cyane ni ibyagenewe ibice bito. Urugero, AI note taking for therapists izaba yishobora cyane mu gusobanura no kwandika ibiganiro by'ubuvuzi kuruta kwandika amakuru.

Kuba Kw'ubuntu no Kwishiramo

Ikindi kintu kigomba kuba mu murimo wawe, ntabwo ari wowe.

* Kuba mu buryo bwinshi: Reba ku buryo bwawe. Mbese itanga porogaramu yihariye mu buryo bwo kwandika? Mbese ifite porogaramu ya telefone ya iOS na Android kugira ngo ushobore kwandika amakuru igihe cyose? Igihe kirenze ikoreshwa, ni uko uzishimira kwishyiramo buri gihe. Ikoreshwa rya porogaramu yihariye ni ikintu gikomeye kuri buri HIPAA compliant AI scribe.

Umuterano wawe mu Kwita ku Barwayi, Si Gusimburwa

Kwiyongera kw'AI clinical documentation ni kimwe mu bikomeye mu ikoranabuhanga ry'ubuvuzi, gitanga igisubizo nyakuri ku ndwara yo gusama. Mu gufata imirimo yo mu biro, ibi bikoresho bihemba ugusubiza igihe cyawe kandi ukita ku murimo wabigenewe: gutanga ubuvuzi bunoze.

Ni ingenzi kwibuka ko imyanzuro yawe y'ubuvuzi ikomeye. Iri koranabuhanga ni umufasha ufite imbaraga, umuterano wemeza ko nta kintu cyarasibamye, ariko buri gihe uri mu mukwabu. Wowe urasuzuma, wowe urahindura, kandi wowe urasinyira.

Niba witeguye kurangiza "pajama time" no gusubira mu kwishimira akazi kawe, intambwe ikurikira ni ukureba iryo koranabuhanga mu rugendo.

Witeguye guhindura umurimo wawe? Tangira urugendo rwa ubuntu cyangwa usabe igitaramo uyu munsi kugira ngo wiyumve ku mbaraga z'inyandiko z'ubuvuzi zishingiye kuri AI.