我们应该认为谁对健康记录的不准确性负责,这些不准确性妨碍了基于人口的实况调查?
Kathleen M Akgün1, Shelli L Feder2
1Associate professor of medicine at VA-Connecticut Health Care System and the Yale School of Medicine in New Haven, Connecticut.
AMA journal of ethics
|January 2, 2025
概括
确保电子健康记录 (EHR) 的准确性需要患者,临床医生和卫生专家共同承担责任. 这种方法提高了流行病学研究的健康数据的可靠性.
科学领域:
- 医疗信息学 医疗信息学
- 流行病学 流行病学
- 数据科学数据科学数据科学
背景情况:
- 电子健康记录 (EHR) 能够为流行病学大规模收集健康数据.
- 电子病历数据的可靠性取决于患者报告,临床医生数据输入和系统编程.
- 当前数据的有效性在很大程度上取决于系统完整性和数据输入质量.
研究的目的:
- 争取在验证电子健康记录 (EHR) 数据方面的共同责任.
- 为电子健康记录数据查询,输入和审查流程提出改进的模型.
- 突出利益相关者参与确保数据准确性的重要性.
主要方法:
- 对一个案例研究的评论,说明了EHR数据有效性问题.
- 关于数据管理协作模式的建议.
- 讨论利益相关者在数据质量保证中的角色.
主要成果:
- 电子健康记录数据的有效性是一个共同的责任,不仅仅是一个系统问题.
- 纳入患者,社区合作伙伴,临床医生和专家可以提高数据可靠性.
- 拟议的模型为更强大的电子健康记录数据管理提供了一个框架.
结论:
- 分享问责制对于可靠的电子健康记录数据至关重要.
- 合作数据验证加强了流行病学研究.
- 未来的EHR系统应该整合各利益相关者的各种投入,以提高准确性和实用性.
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