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从数据提取到分析:优化医院数据复用流程的方法学提案。

From Data Extraction to Analysis: Proposal of a Methodology to Optimize Hospital Data Reuse Process.

作者信息

Lamer Antoine, Ficheur Grégoire, Rousselet Louis, van Berleere Marine, Chazard Emmanuel, Caron Alexandre

机构信息

EA 2694, Univ. Lille, Department of Public Health, CHU Lille, F-59000 Lille, France.

出版信息

Stud Health Technol Inform. 2018;247:41-45.

PMID:29677919
Abstract

In the Lille University Hospital (North of France), data from the Anesthesia Information Management System (Diane® are linked to the Hospital Information System and stored in a dedicated data warehouse since 2010. These electronic medical records need to be reused and analyzed for observational studies. The aim of this paper is to describe the framework developed to structure the operation of that anesthesia data warehouse for research purposes. The presented framework is structured around three meetings between clinicians, computer scientists, and statisticians. The data scientist acts as a coordinator, leads meetings, and checks each milestone. Reuse of anesthesia-related electronic medical record for research purposes is only allowed through this framework. The aim of the first meeting is to decide the primary and secondary objectives of the study. The aim of the second meeting is to validate the statistical protocol. The data are extracted and the statistical analyses are performed. Finally, the results are presented, explained and discussed during the third meeting. During a 6 months period, 27 projects were included in the framework leading to 5 scientific communications. As a result, case studies with extraction and/or analysis situations are presented. This collaboration led to an empowerment process between all three actors, which increased efficiency of the workflow. Implementation of this framework will keep encouraging collaborative publication in order to provide reproducible research evidence.

摘要

在法国北部的里尔大学医院,自2010年以来,麻醉信息管理系统(Diane®)的数据与医院信息系统相连,并存储在一个专用数据仓库中。这些电子病历需要重新用于观察性研究。本文的目的是描述为构建该麻醉数据仓库用于研究目的的运作而开发的框架。所提出的框架围绕临床医生、计算机科学家和统计学家之间的三次会议构建。数据科学家担任协调员,主持会议并检查每个里程碑。只有通过这个框架,才允许将与麻醉相关的电子病历重新用于研究目的。第一次会议的目的是确定研究的主要和次要目标。第二次会议的目的是验证统计方案。提取数据并进行统计分析。最后,在第三次会议上展示、解释和讨论结果。在6个月的时间里,有27个项目被纳入该框架,产生了5篇科学交流文章。因此,展示了带有提取和/或分析情况的案例研究。这种合作导致了所有三个参与者之间的赋能过程,提高了工作流程的效率。实施这个框架将继续鼓励合作发表,以提供可重复的研究证据。

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引用本文的文献

1
Development and usage of an anesthesia data warehouse: lessons learnt from a 10-year project.麻醉数据仓库的开发和使用:来自 10 年项目的经验教训。
J Clin Monit Comput. 2023 Apr;37(2):461-472. doi: 10.1007/s10877-022-00898-y. Epub 2022 Aug 6.