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使用一个集成的,数字框架来标准化和扩展一个多站点肺癌查计划.

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概括

一个新的数字框架标准化了使用电子健康记录 (EHR) 的肺癌查 (LCS) 数据收集. 这有助于改善护理协调和运营管理,减少肺癌死亡率.

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科学领域:

  • 肺部病理学 肺部病理学
  • 医疗信息学 医疗信息学
  • 公共卫生 公共卫生

背景情况:

  • 肺癌查对于降低死亡率至关重要,但缺乏标准化的数据收集.
  • 电子健康记录 (EHR) 和管理工具已经存在,但尚未在LCS上得到普遍协调.
  • 数据协调对于有效的临床护理协调和扩大LCS计划的运营管理至关重要.

研究的目的:

  • 实施一个综合的数字框架,用于全面的LCS数据收集和跟踪.
  • 为了在整个LCS患者旅程中标准化文档.
  • 为了解决在LCS计划中数据协调的关键需求.

主要方法:

  • 使用Epic EHR与定制的SmartForms和REDCap.Cap实现一个集成的数字框架.
  • 标准化关于LCS资格,共享决策,低剂量CT和后续行动的文件.
  • 利用现有的EHR基础设施为统一的LCS数据管理系统.

主要成果:

  • 自2022年10月以来,四个枢纽的11个地点采用了框架.
  • 标准化的流程和系统互操作性创建了一个集中式数据存储库.
  • 改善了整个LCS计划的沟通,透明度和减少重复的流程.

结论:

  • 数字框架在杰斐逊卫生系统内具有可扩展性和可持续性,并可用于其他LCS计划.
  • 为了成功实施,未来的代必须考虑EHR复杂性和数据来源.
  • 利益相关者的协作是建立,实施和故障排除全面LCS数据库以提高质量指标和研究的关键.