Peking University Clinical Research Institute, Peking University First Hospital, Beijing, China.
Department of Hematology, First Affiliated Hospital of Hainan Medical College, Haikou, China.
BMC Med Inform Decis Mak. 2022 Apr 11;22(1):98. doi: 10.1186/s12911-022-01824-7.
Electronic sources (eSources) can improve data quality and reduce clinical trial costs. Our team has developed an innovative eSource record (ESR) system in China. This study aims to evaluate the efficiency, quality, and system performance of the ESR system in data collection and data transcription.
The study used time efficiency and data transcription accuracy indicators to compare the eSource and non-eSource data collection workflows in a real-world study (RWS). The two processes are traditional data collection and manual transcription (the non-eSource method) and the ESR-based source data collection and electronic transmission (the eSource method). Through the system usability scale (SUS) and other characteristic evaluation scales (system security, system compatibility, record quality), the participants' experience of using ESR was evaluated.
In terms of the source data collection (the total time required for writing electronic medical records (EMRs)), the ESR system can reduce the time required by 39% on average compared to the EMR system. In terms of data transcription (electronic case report form (eCRF) filling and verification), the ESR can reduce the time required by 80% compared to the non-eSource method (difference: 223 ± 21 s). The ESR accuracy in filling the eCRF field is 96.92%. The SUS score of ESR is 66.9 ± 16.7, which is at the D level and thus very close to the acceptable margin, indicating that optimization work is needed.
This preliminary evaluation shows that in the clinical medical environment, the ESR-based eSource method can improve the efficiency of source data collection and reduce the workload required to complete data transcription.
电子源(eSource)可提高数据质量并降低临床试验成本。我们的团队在中国开发了一种创新的电子源记录(ESR)系统。本研究旨在评估该 ESR 系统在数据采集和数据转录方面的效率、质量和系统性能。
该研究使用时间效率和数据转录准确性指标,在真实世界研究(RWS)中比较了电子源和非电子源数据采集工作流程。这两个过程分别是传统的数据采集和手动转录(非电子源方法)以及基于 ESR 的源数据采集和电子传输(电子源方法)。通过系统可用性量表(SUS)和其他特征评估量表(系统安全性、系统兼容性、记录质量),评估了参与者使用 ESR 的体验。
在源数据采集方面(编写电子病历(EMR)所需的总时间),与 EMR 系统相比,ESR 系统平均可减少 39%的时间。在数据转录方面(电子病例报告表(eCRF)填写和验证),与非电子源方法相比,ESR 可减少 80%的时间(差异:223 ± 21 s)。ESR 在填写 eCRF 字段方面的准确性为 96.92%。ESR 的 SUS 评分为 66.9 ± 16.7,处于 D 级,非常接近可接受范围,表明需要进行优化工作。
初步评估表明,在临床医疗环境中,基于 ESR 的电子源方法可以提高源数据采集的效率,并减少完成数据转录所需的工作量。