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患者提供给其电子健康记录的信息有多准确?

How accurate is information that patients contribute to their Electronic Health Record?

作者信息

Wuerdeman Lisa, Volk Lynn, Pizziferri Lisa, Tsurikova Ruslana, Harris Cathyann, Feygin Raisa, Epstein Marianna, Meyers Kimberly, Wald Jonathan S, Lansky David, Bates David W

机构信息

Clinical Quality Analysis, Partners HealthCare System.

出版信息

AMIA Annu Symp Proc. 2005;2005:834-8.

PMID:16779157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1560697/
Abstract

Increased patient interaction with medical records and the advent of personal health records (PHRs) may increase patients' ability to contribute valid information to their Electronic Medical Record (EHR) medical record. Patient input through a secure connection, whether it be a patient portal or PHR, will integrate many aspects of a patient's health and may help lessen the information gap between patients and providers. Patient reported data should be considered a viable method of enhancing documentation but will not likely be as complete and accurate as more comprehensive data-exchange between providers.

摘要

患者与医疗记录互动的增加以及个人健康记录(PHR)的出现,可能会提高患者为其电子病历(EHR)贡献有效信息的能力。通过安全连接(无论是患者门户还是PHR)进行的患者输入,将整合患者健康的多个方面,并可能有助于缩小患者与医疗服务提供者之间的信息差距。患者报告的数据应被视为增强文档记录的一种可行方法,但可能不如医疗服务提供者之间更全面的数据交换那样完整和准确。

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本文引用的文献

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Validity of patient self-reported history of skin cancer.患者自我报告的皮肤癌病史的有效性。
Arch Dermatol. 2004 Jun;140(6):730-5. doi: 10.1001/archderm.140.6.730.
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Improving safety with information technology.利用信息技术提高安全性。
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What do patients do with access to their medical records?患者获取病历后会怎么做?
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Drug therapy in the elderly: what doctors believe and patients actually do.老年人的药物治疗:医生的看法与患者的实际做法
Br J Clin Pharmacol. 2001 Jun;51(6):615-22. doi: 10.1046/j.0306-5251.2001.01401.x.
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Parents as direct contributors to the medical record: validation of their electronic input.父母作为病历的直接提供者:对其电子输入的验证。
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