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为伊朗医院信息系统中的 COVID-19 患者设计全面的最小数据集。

Designing a comprehensive minimum dataset for patients with COVID-19 in Iranian hospital information systems.

机构信息

Iran University of Medical Sciences, Tehran, Iran.

Abadan University of Medical Sciences, Abadan, Iran.

出版信息

Health Inf Manag. 2024 Jan;53(1):14-19. doi: 10.1177/18333583231199879. Epub 2023 Oct 17.

DOI:10.1177/18333583231199879
PMID:37846732
Abstract

BACKGROUND

The Minimum Data Set (MDS) plays a vital role in data exchange, collection and quality improvement. In the context of the COVID-19 pandemic, there is a need for a tailored MDS that aligns with the specific information needs of the Iranian community and integrates seamlessly into the country's Hospital Information Systems (HIS).

OBJECTIVE

The study aimed to develop a comprehensive MDS for COVID-19 patients in Iran, with objectives to identify essential data elements and integrate the MDS into HIS, enhancing data exchange and supporting decision-making.

METHOD

This study employed a comparative-descriptive approach to design COVID-19 patient data elements based on World Health Organisation and Centers for Disease Control and Prevention guidelines. The Delphi technique involved 35 experts in two rounds for checklist refinement. The finalised MDS consisted of 9 main terms and 80 sub-terms, analysed using descriptive statistics and IBM SPSS software.

RESULTS

Of 35 experts involved with the study, 69% were male and 31% female, and Health Information Management experts were the majority (34%). The refined MDS for COVID-19 in Iran comprises 50 data elements, while 30 elements were excluded. The MDS includes 8 main terms and 80 sub-terms, with unanimous approval for identity, underlying disease, and treatment sections.

CONCLUSION

The customised MDS for COVID-19 patients in Iran addresses data collection challenges and supports effective disease prevention and management. By providing comprehensive and reliable information, the MDS enhances healthcare quality, facilitates timely access to medical records, and fosters integrated health services.

摘要

背景

最小数据集(MDS)在数据交换、收集和质量改进方面发挥着至关重要的作用。在 COVID-19 大流行的背景下,需要有一种针对伊朗社区特定信息需求的定制 MDS,并与该国的医院信息系统(HIS)无缝集成。

目的

本研究旨在为伊朗的 COVID-19 患者开发一个全面的 MDS,其目标是确定基本数据元素,并将 MDS 集成到 HIS 中,以增强数据交换并支持决策。

方法

本研究采用比较描述性方法,根据世界卫生组织和疾病控制与预防中心的指南设计 COVID-19 患者数据元素。德尔菲技术涉及 35 名专家进行两轮清单修订。最终的 MDS 由 9 个主要术语和 80 个子术语组成,使用描述性统计和 IBM SPSS 软件进行分析。

结果

参与研究的 35 名专家中,69%为男性,31%为女性,卫生信息管理专家居多(34%)。伊朗 COVID-19 的精炼 MDS 包含 50 个数据元素,而排除了 30 个元素。MDS 包括 8 个主要术语和 80 个子术语,身份、潜在疾病和治疗部分得到一致认可。

结论

为伊朗 COVID-19 患者定制的 MDS 解决了数据收集挑战,支持了有效的疾病预防和管理。通过提供全面可靠的信息,MDS 提高了医疗质量,方便了及时获取医疗记录,并促进了综合卫生服务。

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