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将研究数据采集整合到电子健康记录工作流程中:推动创新的实际经验。

Integrating research data capture into the electronic health record workflow: real-world experience to advance innovation.

作者信息

Laird-Maddox Marsha, Mitchell Susan B, Hoffman Mark

机构信息

Marsha Laird-Maddox is a senior engagement leader in Population Health Consulting at Cerner Corporation in Kansas City, MO.

Susan B. Mitchell, MSN, RN, is a senior manager of Research Information Systems at Florida Hospital in Orlando, FL.

出版信息

Perspect Health Inf Manag. 2014 Oct 1;11(Fall):1e. eCollection 2014.

Abstract

As the adoption of electronic health records (EHRs) increases, more opportunities are available for leveraging the system and the data to facilitate research. Historically, for patients enrolled in clinical research trials or studies, data have been documented in the medical record, and then study-related data are manually reentered into an electronic case report form in a research system. By utilizing data collected in the EHR to prepopulate electronic case report forms, manual transcription is reduced, data quality is improved, and the workflow for capturing research data is streamlined. Past efforts to integrate EHRs and research systems for the purposes of data capture have demonstrated that interoperability is possible. This article highlights how Cerner Corporation and Florida Hospital collaborated to extend an existing standard to implement a workflow called Integrated Data Capture.

摘要

随着电子健康记录(EHRs)的采用率不断提高,利用该系统和数据促进研究的机会也越来越多。从历史上看,对于参加临床研究试验或研究的患者,数据记录在病历中,然后与研究相关的数据会手动重新输入到研究系统中的电子病例报告表中。通过利用电子健康记录中收集的数据来预填充电子病例报告表,可以减少手动转录,提高数据质量,并简化获取研究数据的工作流程。过去为了数据采集而整合电子健康记录和研究系统的努力表明,实现互操作性是可能的。本文重点介绍了erner公司与佛罗里达医院如何合作扩展现有标准以实施一种名为集成数据捕获的工作流程。

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