关于电子健康记录数据质量评估指标偏好的调查:以用户为导向的视角
Liu Yang1, Mudan Ren1, Shuifa Sun2
1School of Government, Beijing Normal University, Beijing 100875, China.
JAMIA open
|December 12, 2024
概括
不同的电子健康记录 (EHR) 用户对数据质量指标的优先级不同. 了解这些对数据质量评估指标 (DQAI) 的偏好,可以改善EHR系统和政策.
科学领域:
- 医疗信息学 医疗信息学
- 数据质量管理数据质量管理
- 电子健康记录电子健康记录
背景情况:
- 电子健康记录 (EHR) 对现代医疗保健提供至关重要.
- 确保EHR系统中的数据质量对于患者安全和有效的临床决策至关重要.
- 医疗保健中的各种用户角色可能对什么构成高质量的EHR数据有不同的看法.
研究的目的:
- 调查不同类型的EHR用户对数据质量评估指标 (DQAI) 的不同偏好.
- 探讨这些用户偏好如何为电子健康记录系统的增强提供信息.
- 优化与EHR数据质量相关的政策.
主要方法:
- 一个系统的文献审查确定了DQAI系统的高频指标.
- 一项以用户为导向的调查涉及医生,护士,医院主管和临床研究人员.
- 重法,模糊综合评估,探索性因子分析和可视化分析被用于评估和偏好探索.
主要成果:
- 确定了16个DQAI指标,并将其分组为结构和关系维度.
- DQAI系统获得了高的综合评价得分 (90.445),表明"非常重要"的地位.
- 用户的偏好各不相同:医生和护士重视所有指标,研究人员强调可信性,监督者关注准确性. 一般来说,比起结构性指标,人们更喜欢关系指标.
结论:
- 不同的EHR用户群体在指标和维度层面对DQAI表现出不同的偏好.
- 为了提高数据质量,需要针对电子健康记录系统开发和政策制定采取量身定制的方法.
- 以用户为中心的策略对于优化EHR系统和改善数据质量结果至关重要.
相关概念视频
01:30Methods of Documentation VII: EMR
824
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...
824
01:30Health Information Technology and Healthcare Information System
799
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:
799
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
01:05Data Collection III
2.7K
The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
The principles to begin the physical assessment include conducting a comprehensive or problem-related history in a quiet, well-lit room, emphasizing privacy and comfort for the...
2.7K
01:25Ethical Standards I
774
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
774
01:24Data Reporting and Recording
4.6K
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...
4.6K