Out-of-Hospital Research in the Era of Electronic Health Records

Newgard Craig D.; Fu Rochelle; Malveau Susan; Rea Tom; Griffiths Denise E.; Bulger Eileen; Klotz Pat; Tirrell Abbie; Zive Dana

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Out-of-Hospital Research in the Era of Electronic Health Records

机译：电子健康记录时代的医院外科研究

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Conducting out-of-hospital research is unique and challenging and requires tracking patients across multiple phases of care, using multiple sources of patient records and multiple hospitals. The logistics and strategies used for out-of-hospital research are distinct from other forms of clinical research. The increasing use of electronic health records (EHRs) by hospitals and emergency medical services (EMS) agencies presents a large opportunity for accelerating out-of-hospital research, as well as particular challenges. In this study, we describe seven key aspects of designing and implementing out-of-hospital research in the era of EHRs: (1) selection of research sites, (2) defining the patient population, (3) patient sampling and sample size calculations, (4) EMS data, (5) hospital selection, (6) handling missing data, and (7) statistical analysis. We use examples from a recent prospective out-of-hospital cohort study to illustrate these topics, including lessons learned.

机译：进行医院外的研究是独特的，具有挑战性的，需要使用多个患者记录和多个医院的多个阶段跟踪患者。用于外科医院研究的物流和策略与其他形式的临床研究不同。医院和紧急医疗服务（EMS）代理商的越来越多的电子健康记录（EHRS）利用提供了加速医院外科的巨大机会，以及特殊的挑战。在这项研究中，我们描述了在EHRS时代设计和实施外院研究的七个关键方面：（1）研究网站的选择，（2）定义患者人口，（3）患者采样和样本量计算（4）EMS数据，（5）医院选择，（6）处理缺失数据，以及（7）统计分析。我们使用最近的潜在医院外科队列研究的例子来说明这些主题，包括学习的经验教训。

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来源
《Prehospital emergency care》 |2018年第5期|共12页
作者
Newgard Craig D.; Fu Rochelle; Malveau Susan; Rea Tom; Griffiths Denise E.; Bulger Eileen; Klotz Pat; Tirrell Abbie; Zive Dana;
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作者单位

Oregon Hlth &

Sci Univ Dept Emergency Med Ctr Policy &

Res Emergency Med 3181 SW Sam Jackson Pk;

Oregon Hlth &

Sci Univ Dept Emergency Med Ctr Policy &

Res Emergency Med 3181 SW Sam Jackson Pk;

Oregon Hlth &

Sci Univ Dept Emergency Med Ctr Policy &

Res Emergency Med 3181 SW Sam Jackson Pk;

Univ Washington Dept Internal Med Seattle WA 98195 USA;

Oregon Hlth &

Sci Univ Dept Emergency Med Ctr Policy &

Res Emergency Med 3181 SW Sam Jackson Pk;

Univ Washington Dept Surg Seattle WA 98195 USA;

Univ Washington Dept Surg Seattle WA 98195 USA;

Oregon Hlth &

Sci Univ Dept Emergency Med Ctr Policy &

Res Emergency Med 3181 SW Sam Jackson Pk;

Oregon Hlth &

Sci Univ Dept Emergency Med Ctr Policy &

Res Emergency Med 3181 SW Sam Jackson Pk;

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原文格式 PDF
正文语种 eng
中图分类护理学;
关键词
emergency medical services; methodology; out-of-hospital; research;

机译：紧急医疗服务;方法论;外科医院;研究;

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专利

1. Out-of-Hospital Research in the Era of Electronic Health Records [J] . Newgard Craig D., Fu Rochelle, Malveau Susan, Prehospital emergency care . 2018,第5期

机译：电子健康记录时代的医院外科研究
2. The Electronic Health Record Objective Structured Clinical Examination: Assessing Student Competency in Patient Interactions While Using the Electronic Health Record [J] . Biagioli Frances E., Elliot Diane L., Palmer Ryan T., Academic Medicine: Journal of the Association of American Medical Colleges . 2017,第1期

机译：电子健康录制客观结构化临床检查：评估使用电子健康记录的患者互动的学生能力
3. Improving Rates of Influenza Vaccination Through Electronic Health Record Portal Messages, Interactive Voice Recognition Calls and Patient-Enabled Electronic Health Record Updates: Protocol for a Randomized Controlled Trial [J] . Sarah L Cutrona MD MPH, Meera Sreedhara MPH, Sarah L Goff MD, JMIR Research Protocols . 2016,第2期

机译：通过电子健康记录门户网站消息，交互式语音识别呼叫和启用患者的电子健康记录更新来提高流感疫苗接种率：随机对照试验的协议
4. Construction of hierarchical structure of paper-based health records for interoperability in EHR(Electronic Health Record) System [C] . So-young Yoon, Seung-jong Yu, Sung-hee Park, China-Japan-Korea Joint Symposium on Medical Informatics(CJKMI'2005); 2005; Shenzhen(CN) . 2005

机译：构建电子病历系统互操作性纸质病历的层次结构
5. Public Health and Population Health: Leveraging Electronic Health Record Data for Local Population Health Surveillance [D] . McCormick, Emily V. 2018

机译：公共卫生和人口健康：利用电子健康记录当地人口健康监测数据
6. Electronic Versus Manual Data Processing: Evaluating the Use of Electronic Health Records in Out-of-Hospital Clinical Research [O] . Craig D. Newgard, Dana Zive, Jonathan Jui, -1

机译：电子与手动数据处理：评估电子健康档案的使用在乱医院临床研究
7. Electronic Versus Manual Data Processing: Evaluating the Use of Electronic Health Records in Out-of-hospital Clinical Research [O] . Craig D. Newgard, Dana Zive, Jonathan Jui, 2012

机译：电子与手动数据处理：评估在医院外临床研究中使用电子健康记录

Out-of-Hospital Research in the Era of Electronic Health Records

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