John Paul II Geriatric Hospital, Katowice, Poland.
Institute of Psychology, Humanitas Academy, Sosnowiec, Poland.
Clin Interv Aging. 2023 Dec 23;18:2171-2183. doi: 10.2147/CIA.S400887. eCollection 2023.
Electronic medical records (EMRs) have many benefits in clinical research in gerontology, enabling data analysis, development of prognostic tools and disease risk prediction. EMRs also offer a range of advantages in clinical practice, such as comprehensive medical records, streamlined communication with healthcare providers, remote data access, and rapid retrieval of test results, ultimately leading to increased efficiency, enhanced patient safety, and improved quality of care in gerontology, which includes benefits like reduced medication use and better patient history taking and physical examination assessments. The use of artificial intelligence (AI) and machine learning (ML) approaches on EMRs can further improve disease diagnosis, symptom classification, and support clinical decision-making. However, there are also challenges related to data quality, data entry errors, as well as the ethics and safety of using AI in healthcare. This article discusses the future of EMRs in gerontology and the application of AI and ML in clinical research. Ethical and legal issues surrounding data sharing and the need for healthcare professionals to critically evaluate and integrate these technologies are also emphasized. The article concludes by discussing the challenges related to the use of EMRs in research as well as in their primary intended use, the daily clinical practice.
电子病历(EMR)在老年医学临床研究中有许多优势,能够进行数据分析、开发预后工具和疾病风险预测。EMR 在临床实践中也有一系列优势,如全面的医疗记录、与医疗保健提供者的流畅沟通、远程数据访问以及快速检索测试结果,最终提高效率、增强患者安全性并改善老年医学的护理质量,包括减少用药和更好地进行病史采集和体格检查评估。在 EMR 上使用人工智能(AI)和机器学习(ML)方法可以进一步改善疾病诊断、症状分类和支持临床决策。然而,也存在与数据质量、数据录入错误以及在医疗保健中使用 AI 的伦理和安全相关的挑战。本文讨论了 EMR 在老年医学中的未来以及 AI 和 ML 在临床研究中的应用。还强调了围绕数据共享的伦理和法律问题,以及医疗保健专业人员批判性评估和整合这些技术的必要性。最后,文章讨论了在研究以及日常临床实践中使用 EMR 相关的挑战。