Reimer Andrew P, Madigan Elizabeth
Case Western Reserve University.
EGEMS (Wash DC). 2013 Dec 18;1(3):1024. doi: 10.13063/2327-9214.1024. eCollection 2013.
The consolidation of health care systems to develop centers of clinical excellence has led to an increased reliance on medical transport to move patients requiring time-sensitive interventions and specialized treatments. There is a paucity of outcomes data, specifically comparative effectiveness research, related to the efficacy of different transport services and the overall morbidity and mortality of patients that undergo medical transfer. The rapid development of electronic medical record (EMR) use has also occurred with transport charting. However, limited studies have incorporated transport chart data in outcomes analyses. We have begun development of a fully integrated medical transport record, combining transport and hospitals EMRs, to support research efforts and develop clinical decision support tools for transported patients. In this paper, we describe the elements necessary to develop a fully integrated medical transport EMR to support the conduct of comparative effectiveness research, outline the current limitations and challenges, and provide insight into the future direction in developing clinical decision support tools for patients requiring transport.
医疗保健系统整合以发展卓越临床中心，这导致对医疗转运的依赖增加，以便运送需要进行时间敏感型干预和接受专科治疗的患者。关于不同转运服务的效果以及接受医疗转运患者的总体发病率和死亡率，现有的结局数据，特别是比较效果研究，较为匮乏。电子病历（EMR）在转运记录方面也迅速发展起来。然而，将转运病历数据纳入结局分析的研究有限。我们已开始开发一个完全整合的医疗转运记录，将转运记录与医院电子病历相结合，以支持研究工作，并为转运患者开发临床决策支持工具。在本文中，我们描述了开发一个完全整合的医疗转运电子病历以支持比较效果研究所需的要素，概述了当前的局限性和挑战，并深入探讨了为需要转运的患者开发临床决策支持工具的未来方向。
