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
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