Nwachukwu Benedict U, Bozic Kevin J
Hospital for Special Surgery;
University of California, San Francisco.
EGEMS (Wash DC). 2013 Oct 28;1(2):1014. doi: 10.13063/2327-9214.1014. eCollection 2013.
The move toward adoption and implementation of electronic health records (EHR) provides an opportunity in the United States to use electronic clinical data (ECD) to better understand patient outcomes and to improve the quality and efficiency of medical care. Within the field of orthopedics, national joint replacement registries have been shown in other countries to improve clinical decision-making and outcomes after joint arthroplasty. Thus, there is increasing interest among U.S. clinical investigators and policymakers to utilize ECD to develop national and regional joint replacement registries. We discuss our experience with integrating electronic data capture and reporting methodology into the California Joint Replacement Registry and American Joint Replacement Registry initiatives. The use of ECD for joint replacement registries will better facilitate multi-stakeholder collaboration, improve the quality of care, reduce medical spending, and foster customized evidence-based clinical decision-making.
在美国，采用和实施电子健康记录（EHR）的举措为利用电子临床数据（ECD）更好地了解患者治疗结果、提高医疗质量和效率提供了契机。在骨科领域，其他国家的国家关节置换登记处已证明可改善关节置换术后的临床决策和治疗结果。因此，美国临床研究人员和政策制定者越来越有兴趣利用ECD来建立国家和地区关节置换登记处。我们讨论了将电子数据采集和报告方法整合到加利福尼亚关节置换登记处和美国关节置换登记处计划中的经验。将ECD用于关节置换登记处将更好地促进多方利益相关者的合作，提高医疗质量，降低医疗支出，并促进基于证据的定制临床决策。
