设计一个由RE-AIM实施框架支持的电子患者报告结果信息基础设施
Amy C Moreno1, Angela Peek2, Toshiko S Stein2
1Department of Radiation Oncology, Division of Radiation Oncology, The University of Texas MD Anderson Cancer Center.
概括
使用EHR系统实施电子患者报告结果 (ePRO) 改善了数据收集和决策. 该框架提供了一个可扩展的解决方案,用于在临床环境中优化ePRO.
科学领域:
- 医疗信息学 医疗信息学
- 临床信息学 临床信息学
- 患者报告的结果
背景情况:
- 患者报告的结果 (PROs) 为及时干预和改善患者生活质量提供了宝贵的见解.
- 实施电子PRO (ePRO) 提出了技术和评估方面的挑战.
- 需要一个强大的框架将ePRO整合到电子健康记录 (EHR) 中.
研究的目的:
- 构建一个强大的EHR集成的ePRO信息基础设施.
- 在RE-AIM (影响力-有效性-采用-实施-维护) 原则上建立基础设施.
- 为了优化临床实用性,信息化操作和实施评估.
主要方法:
- 利用史诗系统的EHR来构建MD安德森症状指数头部和部模块 (MDASI-HN).
- 建立了RE-AIM指标来设计患者,提供者和促进者信息工具.
- 提出了一个动态的两周期实施模型,以实现持续适应.
主要成果:
- 从3,497名独特的头患者 (2021年1月至2024年7月) 收集了13,156份患者提交的ePRO.
- 实现了82%的12个月持续的ePRO合规率.
- 证明的好处包括综合临床数据和潜在的可扩展性.
结论:
- 开发的ePRO框架通过集成的临床数据来加强决策.
- 形成性评估对于优化ePRO合规性和使用至关重要.
- 本文为开发基于EHR的全面ePRO基础设施提供了路线图.
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