Electronic Health Record - Enabled Research in Children Using the Electronic Health Record for Clinical Discovery

被引:25
作者
Sutherland, Scott M. [1 ,2 ]
Kaelber, David C. [3 ,4 ,5 ,6 ]
Downing, N. Lance [2 ]
Goel, Veena V. [1 ,2 ]
Longhurst, Christopher A. [7 ]
机构
[1] Stanford Univ, Sch Med, Dept Pediat, 300 Pasteur Dr,Room G-306, Stanford, CA 94304 USA
[2] Stanford Childrens Hlth, Dept Clin Informat, 1265 Welch Rd,MSOB XIC65A, Stanford, CA 94305 USA
[3] Case Western Reserve Univ, Ctr Clin Informat Res & Educ, MetroHlth Syst, Dept Informat Serv, 2500 MetroHtlh Dr, Cleveland, OH 44109 USA
[4] Case Western Reserve Univ, Ctr Clin Informat Res & Educ, MetroHlth Syst, Dept Internal Med, 2500 MetroHtlh Dr, Cleveland, OH 44109 USA
[5] Case Western Reserve Univ, Ctr Clin Informat Res & Educ, MetroHlth Syst, Dept Epidemiol, 2500 MetroHtlh Dr, Cleveland, OH 44109 USA
[6] Case Western Reserve Univ, Ctr Clin Informat Res & Educ, MetroHlth Syst, Dept Biostat, 2500 MetroHtlh Dr, Cleveland, OH 44109 USA
[7] Univ Calif San Diego, Sch Med, Dept Biomed Informat, 9560 Towne Ctr Dr, San Diego, CA 92121 USA
关键词
EHR; EMR; Electronic health record; Electronic medical record; Research; Clinical discovery; Children; ACUTE RESPIRATORY-INFECTIONS; COMPUTERIZED DECISION AID; HOME MANAGEMENT PLAN; ACUTE KIDNEY INJURY; PRIMARY-CARE; MEDICAL-RECORD; HOSPITALIZED CHILDREN; CHILDHOOD OBESITY; OTITIS-MEDIA; ORDER ENTRY;
D O I
10.1016/j.pcl.2015.12.002
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Initially described more than 50 years ago, electronic health records (EHRs) are now becoming ubiquitous throughout pediatric health care settings. The confluence of increased EHR implementation and the exponential growth of digital data within them, the development of clinical informatics tools and techniques, and the growing workforce of experienced EHR users presents new opportunities to use EHRs to augment clinical discovery and improve pediatric patient care. This article reviews the basic concepts surrounding EHR-enabled research and clinical discovery, including the types and fidelity of EHR data elements, EHR data validation/corroboration, and the steps involved in analytical interrogation.
引用
收藏
页码:251 / +
页数:20
相关论文
共 94 条
  • [1] Computerized Physician Order Entry With Decision Support Decreases Blood Transfusions in Children
    Adams, Eloa S.
    Longhurst, Christopher A.
    Pageler, Natalie
    Widen, Eric
    Franzon, Deborah
    Cornfield, David N.
    [J]. PEDIATRICS, 2011, 127 (05) : E1112 - E1119
  • [2] American Academy of Pediatrics Department of Research, 2012, AAP NEWS, V33, P16
  • [3] Diabetes mellitus screening in pediatric primary care
    Anand, Shikha G.
    Mehta, Supriya D.
    Adams, William G.
    [J]. PEDIATRICS, 2006, 118 (05) : 1888 - 1895
  • [4] Automated Primary Care Screening in Pediatric Waiting Rooms
    Anand, Vibha
    Carroll, Aaron E.
    Downs, Stephen M.
    [J]. PEDIATRICS, 2012, 129 (05) : E1275 - E1281
  • [5] Transforming Clinical Trials in Cardiovascular Disease Mission Critical for Health and Economic Well-being
    Antman, Elliott M.
    Harrington, Robert A.
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2012, 308 (17): : 1743 - 1744
  • [6] Advanced Clinical Decision Support for Vaccine Adverse Event Detection and Reporting
    Baker, Meghan A.
    Kaelber, David C.
    Bar-Shain, David S.
    Moro, Pedro L.
    Zambarano, Bob
    Mazza, Megan
    Garcia, Crystal
    Henry, Adam
    Platt, Richard
    Klompas, Michael
    [J]. CLINICAL INFECTIOUS DISEASES, 2015, 61 (06) : 864 - 870
  • [7] Applying Natural Language Processing Toolkits to Electronic Health Records - An Experience Report
    Barrett, Neil
    Weber-Jahnke, Jens H.
    [J]. ADVANCES IN INFORMATION TECHNOLOGY AND COMMUNICATION IN HEALTH, 2009, 143 : 441 - 446
  • [8] Beck Andrew F, 2012, Hosp Pediatr, V2, P194
  • [9] Electronic Health Record-Based Decision Support to Improve Asthma Care: A Cluster-Randomized Trial
    Bell, Louis M.
    Grundmeier, Robert
    Localio, Russell
    Zorc, Joseph
    Fiks, Alexander G.
    Zhang, Xuemei
    Stephens, Bryant
    Swietlik, Marguerite
    Guevara, James P.
    [J]. PEDIATRICS, 2010, 125 (04) : E770 - E777
  • [10] The Natural History of Weight Percentile Changes in the First Year of Life
    Bennett, William E., Jr.
    Hendrix, Kristin S.
    Thompson, Rachel T.
    Carroll, Aaron E.
    Downs, Stephen M.
    [J]. JAMA PEDIATRICS, 2014, 168 (07) : 681 - 682