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在现实世界诊所中实施基于诊所的数据采集

Gabriel Martz1, Isshori Gurung2, Ya-Huei Li1

  • 1Hartford HealthCare, Jefferson Building, Suite 607, 80 Seymour St, Hartford, CT 06102, United States.

Epilepsy & behavior : E&B
|October 3, 2025
PubMed
概括

在治疗中实施电子健康记录需要临床医生的参与,以成功获取结构化数据. 优化工作流程和患者调查是提高数据质量和确保公平的患者代表性的关键.

关键词:
临床数据 临床数据是一种病.卫生公平性健康公平性学习健康系统 学习健康系统

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Data collection is a systematic method of obtaining, observing, measuring, and analyzing accurate information. An experimental study is a standard method of data collection that involves the manipulation of the samples by applying some form of treatment prior to data collection. It refers to manipulating one variable to determine its changes on another variable. The sample subjected to treatment is known as “experimental units.”
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Data Collection II

The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and family,...
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The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. The purpose of physical assessment is a health status appraisal, which includes identifying health problems, and establishing a database for nursing intervention.
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