诊断错误的可计算表型:开发用于应用诊断错误的症状-疾病对分析 (SPADE) 的数据方案
Ahmed Hassoon1, Charles Ng2, Harold Lehmann3
1Department of Epidemiology, 25802 Johns Hopkins University Bloomberg School of Public Health , Baltimore, MD, USA.
Diagnosis (Berlin, Germany)
|May 2, 2024
概括
这项研究为诊断错误的症状-疾病对分析 (SPADE) 框架开发了一个可计算的表型. 该工具使用电子健康记录和索赔数据,可以帮助监测整个卫生系统的错误诊断相关危害.
科学领域:
- 医疗信息学 医疗信息学
- 改善临床质量 改善临床质量
- 患者安全研究 患者安全研究
背景情况:
- 诊断错误是医疗保健中可预防的患者伤害的主要原因.
- 目前用于量化诊断错误的工具有限,需要新的方法.
- 诊断错误的症状-疾病对分析 (SPADE) 框架提供了一个潜在的解决方案.
研究的目的:
- 通过创建可计算的表型来概括SPADE框架.
- 为了证明这种可计算的表型在各种临床环境中的应用.
- 为了促进与错误诊断有关的伤害的监测.
主要方法:
- 为SPADE流程开发了一个信息模型.
- 将电子健康记录 (EHR) 和索赔数据字段映射到SPADE信息模型中.
- 通过三个卫生系统的四个案例研究创建并验证了SPADE可计算的表型.
主要成果:
- 在多个地点和案例研究中成功地绘制和测试了SPADE可计算的表型.
- 对于SPADE基准措施所需的数据字段在EHR数据仓库中完全可用.
- 该框架可以从提供者和/或保险公司的角度来操作,用于监测错误诊断的危害.
结论:
- 对于SPADE基准措施的数据可以在EHR和行政索赔数据中轻松获取.
- 数据提取方法在各种卫生系统中可能具有普遍适用性.
- 在不同的数据基础设施中进一步验证可计算的表型是有必要的.
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