Cydoc智能患者信息采集表加速医疗笔记书写
The Cydoc smart patient intake form accelerates medical note writing
AI总结：
本研究评估Cydoc智能患者信息采集表对医疗笔记书写速度和质量的影响，发现其使笔记完成时间加速2.98倍且质量不降，有潜力简化临床文档记录。
摘要：
目的：本研究评估Cydoc软件工具对医疗笔记完成时间及质量的影响。方法：通过电子邮件招募医学生参与与标准化病人的视频会诊，涉及三种场景：从零开始书写笔记（对照组）、使用Cydoc教育工具书写笔记、以及使用Cydoc信息采集表书写笔记。笔记随后匿名化并由一名住院医师根据四项质量指标进行评分。笔记完成时间采用单因素方差分析（ANOVA）并进行事后Bonferroni校正，而笔记质量评分采用Wilcoxon配对符号秩检验进行比较。结果：共有十八名医学生参与了研究。平均笔记完成时间（包括病人访谈和笔记书写）为：从零开始17±7.0分钟，使用教育工具18±8.0分钟，使用信息采集表5.7±3.0分钟。使用Cydoc信息采集表显著快于从零开始书写（p=0.0001）或使用教育工具（p=8×10⁻⁵）。使用Cydoc工具书写的笔记在笔记全面性（3.24>3.06）、相关阳性发现（3.47>2.94）和相关阴性发现（3.47>2.67）方面得分更高，尽管这一趋势未达到统计学显著性。结论：使用Cydoc智能患者信息采集表使笔记书写速度提高了2.98倍，同时保持了笔记质量。Cydoc智能患者信息采集表有潜力简化临床文档记录并节省临床医生时间。未来需要在面对面的门诊环境中与执业临床医生用户一起评估Cydoc工具。
英文摘要：
Purpose: This study evaluates the effect of Cydoc software tools on medical note time-to-completion and quality. Methods: Medical students were recruited by email to participate in a video encounter with a standardized patient for three scenarios: writing a note from scratch (control), writing a note with the Cydoc educational tool, and writing a note with the Cydoc intake form. Notes were subsequently anonymized and rated by a resident physician across four quality measures. Note time-to-completion was analyzed using a one-way ANOVA with post-hoc Bonferroni correction, while note quality scores were compared using a Wilcoxon paired signed rank test. Results: Eighteen medical students participated in the study. The average note time-to-completion, which included the patient interview and note writing, was 17 +/- 7.0 minutes from scratch, 18 +/- 8.0 minutes with the educational tool, and 5.7 +/- 3.0 minutes with the intake form. Using the Cydoc intake form was significantly faster than writing from scratch (p = 0.0001) or using the educational tool (p = 8 x 10-5). Notes written with Cydoc tools had higher note comprehensiveness (3.24 > 3.06), pertinent positives (3.47 > 2.94), and pertinent negatives (3.47 > 2.67), although this trend did not reach statistical significance. Conclusions: Using the Cydoc smart patient intake form accelerated note writing by 2.98x while maintaining note quality. The Cydoc smart patient intake form has the potential to streamline clinical documentation and save clinicians' time. Future work is needed to evaluate Cydoc tools in an in-person outpatient setting with practicing clinician users.
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