临床医生应该知道什么关于编码如何影响流行病学研究?
Jennifer Quint1, Alex Brownrigg2
1Professor of respiratory epidemiology in the School of Public Health at Imperial College London in England.
AMA journal of ethics
|January 2, 2025
概括
编码的电子健康记录 (EHR) 数据支持研究和政策. 这次审查涵盖了EHR数据.
科学领域:
- 医疗信息学 医疗信息学
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 从患者记录中编码的医疗保健数据对于流行病学研究,药物安全和政策至关重要.
- 电子健康记录 (EHR) 产生了大量的编码数据,用于各种健康领域.
研究的目的:
- 总结医疗保健编码本体学和命名体系的演变.
- 描述编码EHR数据在医疗保健操作,研究,审计和政策中的应用.
- 识别电子健康记录数据编码中的潜在错误,其后果,以及缓解策略.
主要方法:
- 关于编码本体学和命名体系的演变的文献综述.
- 分析医疗保健中编码EDH数据的当前应用.
- 讨论EHR数据编码中的错误来源,后果和缓解技术.
主要成果:
- 国际公认的编码本体已经显著发展.
- 编码的EHR数据具有多种应用,从日常运营到政策制定.
- 在EHR编码中可能出现错误,影响数据完整性和下游应用程序.
结论:
- 了解编码的EHR数据的演变和应用对于有效的医疗保健至关重要.
- 减少错误的策略对于提高编码EHR数据的可靠性和实用性至关重要.
- 准确编码的EHR数据支持可靠的研究,明智的政策和改进的患者护理.
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