Pape-Haugaard Louise, Haugaard Karin, Carøe Per, Høstgaard Anna Marie
Dept. of Health Science and Technology, Medical Informatics, Aalborg University, Denmark.
Stud Health Technol Inform. 2013;192:1083.
Denmark has unique health informatics databases such as "The Children's Database" (CDB), which since 2009 has held data on all Danish children from birth until 17 years of age. In the current set-up a number of potential sources of error exist - both technical and human - which means that the data is flawed. The objective of this paper is both to clarify errors in the database and to enlighten the underlying mechanisms causing these errors. This is done through an ethnographic study using participant observations, interviews and workshops. Errors are documented through statistical analysis. The data show redundant records. This redundancy can be explained by multiple transmissions conducted by end users or systems, or a lack of validation methods in the National CDB. In our results three types of cases are presented: from health visitors at school, from health visitors visiting families and from health visitors at central health offices.
丹麦拥有独特的健康信息学数据库,如“儿童数据库”(CDB),自2009年以来,该数据库保存了所有丹麦儿童从出生到17岁的相关数据。在当前的设置中,存在一些潜在的错误来源——包括技术和人为因素——这意味着数据存在缺陷。本文的目的是既要澄清数据库中的错误,又要揭示导致这些错误的潜在机制。这是通过一项人种志研究来完成的,该研究采用了参与观察、访谈和研讨会的方法。通过统计分析记录错误情况。数据显示存在重复记录。这种冗余可以通过终端用户或系统进行的多次传输,或者国家儿童数据库中缺乏验证方法来解释。在我们的研究结果中,呈现了三种类型的案例:来自学校健康访视员的案例、来自家访健康访视员的案例以及来自中央健康办公室健康访视员的案例。