关于电子健康记录使用元数据分析报告指南
Adam Rule1, Thomas Kannampallil2,3, Michelle R Hribar4,5,6
1Information School, University of Wisconsin-Madison, Madison, WI 53706, United States.
Journal of the American Medical Informatics Association : JAMIA
|December 20, 2023
概括
分析电子健康记录 (EHR) 使用元数据为用户交互提供了可扩展的见解. 这项研究提供了关于常见元数据类型和报告标准的指导,以提高研究可重复性.
科学领域:
- 医疗信息学 医疗信息学
- 人与计算机的交互
- 数字健康数字健康
背景情况:
- 电子健康记录 (EHR) 的使用越来越多地使用不引人注目的记录元数据进行研究.
- 元数据以直接观察或自我报告无法实现的规模捕捉EHR相互作用.
- 目前记录,分析和描述EHR使用元数据的方法缺乏标准化,阻碍了研究综合和复制.
研究的目的:
- 为了提供与EHR工作的指导,使用元数据.
- 为了描述常见的电子健康记录类型,使用元数据并将其汇总成更高层次的措施.
- 为报告电子健康记录分析提供指导方针,使用元数据来提高清晰度,标准化和可重复性.
主要方法:
- 描述四种常见类型的EHR使用元数据.
- 解释这些元数据是如何记录的.
- 关于将元数据汇总成有意义的电子健康记录使用指标的指导.
- 在EHR分析中报告标准的建议使用元数据.
主要成果:
- 识别和描述四大流行类别的电子健康记录使用元数据.
- 用于不引人入胜地记录和聚合EHR交互数据的方法.
- 一个框架,用于标准化报告EHR元数据分析.
结论:
- 对电子病历使用元数据的标准化方法对于推动该领域的研究至关重要.
- 清晰的报告准则将改善分析电子健康记录使用的研究的理解,复制和合成.
- 这项工作旨在在新兴的电子健康记录使用元数据研究领域促进更大的一致性和可重复性.
相关概念视频
01:30Methods of Documentation VII: EMR
837
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
837
01:24Data Reporting and Recording
4.7K
Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient data. Failure to record findings during an assessment or interpretation of a problem will result in loss of information and make the patient document unreliable. The reader is left with general impressions if the information is not specific. A recording is documenting data of the individual's health information in a traceable, secure, and...
4.7K
01:11Purpose of Health Records I
1.2K
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
1.2K
01:21Types of Reports II: Incident or Occurrence Report
830
An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
830
01:30Health Information Technology and Healthcare Information System
843
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
843
01:19Purpose of Health Records II
971
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
971