Richesson Rachel L
Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, Michigan, USA.
JAMIA Open. 2020 Oct 12;3(4):488-491. doi: 10.1093/jamiaopen/ooaa046. eCollection 2020 Dec.
Learning health systems that conduct embedded research require infrastructure for the seamless adoption of clinical interventions; this infrastructure should integrate with electronic health record (EHR) systems and enable the use of existing data. As purchasers of EHR systems, and as critical partners, sponsors, and consumers of embedded research, healthcare organizations should advocate for EHR system functionality and data standards that will increase the capacity for embedded research in clinical settings. As stakeholders and proponents for EHR data standards, healthcare leaders should support standards development and promote local adoption to support quality healthcare, continuous improvement, innovative data-driven interventions, and the generation of new knowledge. "Standards-enabled" health systems will be positioned to address emergent and critical research questions, including those related to coronavirus disease 2019 (COVID-19) and future public health threats. The role of a data standards officer or champion could enable health systems to realize this goal.
开展嵌入式研究的学习型卫生系统需要具备无缝采用临床干预措施的基础设施;该基础设施应与电子健康记录(EHR)系统集成,并能够利用现有数据。作为EHR系统的购买者,以及作为嵌入式研究的关键合作伙伴、赞助者和消费者,医疗保健组织应倡导EHR系统功能和数据标准,以提高临床环境中嵌入式研究的能力。作为EHR数据标准的利益相关者和支持者,医疗保健领导者应支持标准制定并促进本地采用,以支持优质医疗保健、持续改进、创新的数据驱动型干预措施以及新知识的产生。“启用标准”的卫生系统将有能力解决紧急和关键的研究问题,包括与2019冠状病毒病(COVID-19)及未来公共卫生威胁相关的问题。数据标准官员或倡导者的作用可以使卫生系统实现这一目标。