在主和辅助电子健康记录系统中链接患者接触:两种方法的比较
Marcos A Davila1, Evan T Sholle1,2, Xiaobo Fuld1
1Information Technologies & Services Department, Weill Cornell Medicine, New York, New York, United States.
ACI open
|May 20, 2024
概括
一种"首先接触"的方法有效地将患者记录与电子健康记录 (EHR) 系统进行链接,以便进行研究. 这种方法将98%的患者和100%的接触联系起来,在二次数据使用方面更有效.
科学领域:
- 医疗信息学 医疗信息学
- 数据链接数据链接
- 电子健康记录电子健康记录
背景情况:
- 整合来自主要和辅助电子健康记录 (EHR) 系统的数据对于研究至关重要.
- 在不同电子健康记录系统中将患者接触记录联系起来仍然是一个挑战.
研究的目的:
- 为了比较患者优先的方法与遭遇优先的方法,在多个EHR系统中将患者遭遇记录联系起来.
- 评估不同数据链接策略的效率和有效性.
主要方法:
- 一项回顾性观察性研究分析了348,904名患者和533283次遭遇,从2010年到2020年.
- 比较了初级EHR和辅助外科外科EHR系统上的患者第一和遭遇第一连接方法.
- 测量了每个方法创建的患者/接触链接数量和运行时间.
主要成果:
- 接触率先的方法连接了98%的患者和100%的接触,显著优于患者率先的方法 (43%的患者,49%的接触).
- 接触率先的方法在患者链接方面是20倍快,但在遭遇链接方面是33%慢.
- 自动化EHR接口提供临床上有用的但不是"研究准备"的数据.
结论:
- 一种"遇到首先"的链接方法对于使电子健康记录数据用于科学研究的二次使用至关重要.
- 这项研究是第一个展示了在多个EHR系统中链接患者体验的方法.
- 企业数据仓库可以从研究举措中采用"遇到先"的策略中受益.
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