在电子病历数据上应用时间图分析的方法,以探索医疗保健专业人员与患者的互动强度:一个队列研究
John Booth1,2, Maria H Eriksson3, Stephen D Marks3,4
1University College London Great Ormond Street Institute of Child Health, London, UK John.Booth@gosh.nhs.uk.
BMJ health & care informatics
|October 10, 2024
概括
对电子病历数据的时间网络分析为了解医疗保健专业人员 (HCP) 互动提供了一种新的方式. 这种方法揭示了超越传统分析的复杂的患者护理动态,有助于医院的运作.
科学领域:
- 医疗信息学 医疗信息学
- 网络科学 网络科学
- 医疗保健管理的管理
背景情况:
- 在电子病历 (EPR) 中分析患者-医疗保健专业人员 (HCP) 互动是传统方法的挑战.
- 了解医院入院期间医疗保健工作者与患者关系的复杂动态对于改善护理至关重要.
研究的目的:
- 评估使用时间网络分析对EPR数据的可行性.
- 专注于随着时间的推移,医疗保健工作者与患者互动的不断变化的模式.
主要方法:
- 应用网络 (图) 分析对结构化EPR数据,用于移植入院期间的HP互动.
- 建立基于ICU或病房状态的日常网络,由60分钟窗口定义的HCP连接.
- 生成报告,可视化日常互动网络结构.
主要成果:
- 从127个招生中创建了2300个网络,每个网络有2-45名医疗人员.
- 网络指标显示密度,过度,结构 (直径,半径) 和集中度的变化.
- 调查结果提供了对日常HCP网络动态的洞察,这些动态是通过标准方法无法实现的.
结论:
- 网络分析提供了一种用于调查和可视化医疗保健工作者与患者互动模式的新方法.
- 这种方法增强了对复杂的医院患者护理的理解.
- 在医疗保健环境中具有众多实际运营应用的潜力.
相关概念视频
Methods of Documentation VII: EMR
825
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...
825
Purpose of Health Records II
964
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
964
Pulse rhythm
769
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
769
Electrocardiogram
2.2K
An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
Three major waveforms are present in a typical ECG recording: the P wave, the QRS complex, and...
2.2K
Methods of Documentation IV: Focus Charting
1.0K
Focus Charting, also known as the focus charting system or "focus documentation," is a systematic documentation approach used in healthcare to organize patient information in medical records.
It typically involves three columns for recording information:
It typically involves three columns for recording information:
1.0K
Time-Series Graph
4.3K
A time-series graph is a line graph with repeated measurements taken at successive intervals of time. It is also called a time series chart. To construct a time-series graph, one must look at both pieces of a paired data set. The horizontal axis is used to plot the time increments, and the vertical axis is used to plot the values of the variable that one is measuring. By using the axes in this way, each point on the graph will correspond to time and a measured quantity. The points on the graph...
4.3K


