每天我写一本书:将EHR数据从日常实践转化为新知识
Robert L Phillips1, Andrew W Bazemore2
1From The Center for Professionalism & Value in Health Care, American Board of Family Medicine, Washington, DC (RLP); Research & Policy, American Board of Family Medicine, Washington, DC; and Center for Professionalism & Value in Health Care Washington, DC (AWB). bphillips@theabfm.org.
Journal of the American Board of Family Medicine : JABFM
|December 26, 2024
概括
临床注册表将前线临床医生的数据转化为有价值的研究资产. 这种方法增强了初级保健研究,质量改善和政策,使患者和卫生系统受益.
科学领域:
- 医疗信息学 医疗信息学
- 初级保健研究研究初级保健研究
- 数据科学数据科学数据科学
背景情况:
- 前线临床医生文档产生了大量数据,目前价值有限.
- 电子健康记录 (EHR) 数据在研究和医疗系统改进方面的潜力在很大程度上尚未得到充分利用.
- 在使用临床数据时,必须保持患者和临床医生的保密.
研究的目的:
- 突出临床注册表在初级保健研究中的变革潜力.
- 展示临床注册表如何将原始临床数据转换为研究准备的数据集.
- 强调注册局在推进初级保健研究,质量改善和政策方面的作用.
主要方法:
- 使用临床注册表从电子健康记录中提取和汇总数据.
- 采用数据转换技术来创建研究准备的数据集.
- 专注于大型,全国代表性和多样化的初级保健实践和患者样本.
- 突出了一些具体的例子,比如PRIME注册表,该注册表收集了来自美国600多家初级保健机构的数据.
主要成果:
- 临床注册允许从例行收集的临床数据中提取有价值的见解.
- 普莱姆注册表是成功提取数据以促进研究,质量和政策的典范.
- 大多数捕获的前线护理数据仍然未得到充分利用,这代表了错过的机会.
结论:
- 临床注册表是释放初级保健数据潜力的重要工具.
- 利用注册表数据对于强有力的研究,预防AI相关的伤害和公共卫生监测至关重要.
- 需要像注册表这样的变革性工具来实现所有人群的高性能初级保健.
关键词:
在2023年的ADFM/NAPCRG研究峰会上.人工智能的人工智能机器学习 机器学习在 PRIME 登记册中,可以找到 PRIME 登记册.主要医疗保健是主要的医疗保健.提高质量 提高质量护理的质量 护理的质量登记处 登记处 登记处 登记处研究研究研究研究研究研究.更多相关视频
相关概念视频
Methods 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
Purpose of Health Records II
962
Health records serve various essential purposes in the healthcare system. Here are some key purposes:
962
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Data 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
Purpose 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
Data Collection I
6.0K
Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of...
6.0K


