Turku University Hospital, Turku, Finland.
Department of Nursing Science, University of Turku, Turku, Finland.
Stud Health Technol Inform. 2022 May 25;294:520-524. doi: 10.3233/SHTI220513.
The World Health Organization defines, that high quality health services should be effective, safe, people-centered, timely, equitable, integrated, and effective. This requires systematic quality assessment. The aim of this scoping review was to explore how electronic health records (EHRs) have been used to assess quality of health services using the WHO criteria. A total of 4247 records were obtained whereof 8 studies were included in the review. Research showed that EHRs were used to evaluate safety, performance and care processes. EHRs were regarded as an applicable real-world data source, highlighting the importance of consistency and standardised terminologies. Use of EHR data is limited to its representation of the real world and current evaluation systems have limited quality criteria, diverse definitions and they use only structured data. Future research should explore possibilities of natural language processing methods and include narrative EHR information for a more a comprehensive view of service quality assessment.
世界卫生组织定义，高质量的卫生服务应该是有效的、安全的、以患者为中心的、及时的、公平的、综合的和有效的。这需要系统的质量评估。本范围综述的目的是探讨电子健康记录（EHR）如何根据世界卫生组织的标准用于评估卫生服务的质量。共获得了 4247 条记录，其中有 8 项研究被纳入综述。研究表明，EHR 被用于评估安全性、绩效和护理流程。EHR 被视为一种适用的真实世界数据源，突出了一致性和标准化术语的重要性。EHR 数据的使用仅限于其对真实世界的代表性，并且当前的评估系统质量标准有限、定义多样化，并且仅使用结构化数据。未来的研究应探索自然语言处理方法的可能性，并纳入叙述性 EHR 信息，以更全面地评估服务质量。
