Using electronic health record audit log data for research: insights from early efforts
Using electronic health record audit log data for research: insights from early efforts
复制标题
将电子健康记录审计日志数据用于研究：早期工作的启示
DOI：
10.1093/jamia/ocac173
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发表时间：
2022-09-29
影响因子：
6.4
通讯作者：
Adler-Milstein, Julia
中科院分区：
文献类型：
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作者：
Kannampallil, Thomas;Adler-Milstein, Julia
电子健康记录审核日志捕获临床医生使用系统时活动的按时间顺序的记录。因此，审计日志数据有助于对临床工作活动和工作流程以及衍生的行为代理（例如团队合作）进行不引人注目的测量。鉴于其巨大的研究潜力，利用这些数据的研究已经蓬勃发展。随着该领域的成熟，使用数据来回答重大研究问题的挑战已成为人们关注的焦点。在这个视角中，我们利用更广泛的审计日志文献中的研究经验和见解来推进审计日志研究。具体来说，我们提出了两项补充建议，以促进基于日志的审计措施取得实质性进展，这些建议是：（1）透明且经过验证的，（2）标准化以允许多地点研究，（3）对有意义的变异性敏感，（4）范围更广，以捕获临床工作的关键方面，包括团队合作和协调，以及（5）与患者和临床结果相关。
Electronic health record audit logs capture a time-sequenced record of clinician activities while using the system. Audit log data therefore facilitate unobtrusive measurement at scale of clinical work activities and workflow as well as derivative, behavioral proxies (eg, teamwork). Given its considerable research potential, studies leveraging these data have burgeoned. As the field has matured, the challenges of using the data to answer significant research questions have come into focus. In this Perspective, we draw on our research experiences and insights from the broader audit log literature to advance audit log research. Specifically, we make 2 complementary recommendations that would facilitate substantial progress toward audit log-based measures that are: (1) transparent and validated, (2) standardized to allow for multisite studies, (3) sensitive to meaningful variability, (4) broader in scope to capture key aspects of clinical work including teamwork and coordination, and (5) linked to patient and clinical outcomes.