重新利用常规电子健康记录数据,在全国范围内对护理院的COVID-19进行监测:障碍,促进者和经验教训
Y Wieland-Jorna1,2, R A Verheij1,2, A L Francke1,3
1Nivel, Netherlands Institute for Health Services Research, Otterstraat 118, Utrecht, 3513 CR, The Netherlands.
BMC medical informatics and decision making
|December 28, 2024
概括
在荷兰养老院开发一个COVID-19数据库面临挑战. 关键的促进因素包括合作和供应商参与,而障碍则涉及政策变化和数据质量问题.
科学领域:
- 公共卫生监督 公共卫生监督
- 医疗信息学 医疗信息学
- 老年医疗护理服务提供者
背景情况:
- 早期的COVID-19大流行缺乏关于荷兰养老院传播的数据.
- 在养老院的老年人面临严重COVID-19的高风险.
- 试图使用电子健康记录 (EHR) 建立一个全国性的存储库.
研究的目的:
- 描述开发COVID-19 EHR数据库的促进者和障碍.
- 确定重新使用电子健康记录数据用于监视和研究的经验教训.
主要方法:
- 325个开发文件的诱导性内容分析.
- 评估数据是否适合目的 (完整性,可信性,符合性,及时性).
主要成果:
- 促进者:组织间的合作,EHR供应商的参与,合作伙伴的沟通.
- 障碍:不断变化的测试政策,电子健康登记系统的差异,工作量,法律不确定性,紧张的截止日期,不清楚的监控差异.
结论:
- 在养老院建立基于EHR的COVID-19存储库具有挑战性.
- 促进者和障碍者影响了监控数据的可用性.
- 九个经验教训 (法律,上下文,数据质量) 引导未来的存储库开发.
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