Enhancing the use of EHR systems for pragmatic embedded research: lessons from the NIH Health Care Systems Research Collaboratory.
Enhancing the use of EHR systems for pragmatic embedded research: lessons from the NIH Health Care Systems Research Collaboratory.
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DOI：
10.1093/jamia/ocab202
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发表时间：
2021-11-25
期刊：
影响因子：
--
通讯作者：
Fiol GD
中科院分区：
文献类型：
--
作者：
Richesson RL;Marsolo KS;Douthit BJ;Staman K;Ho PM;Dailey D;Boyd AD;McTigue KM;Ezenwa MO;Schlaeger JM;Patil CL;Faurot KR;Tuzzio L;Larson EB;O'Brien EC;Zigler CK;Lakin JR;Pressman AR;Braciszewski JM;Grudzen C;Fiol GD
We identified challenges and solutions to using electronic health record (EHR) systems for the design and conduct of pragmatic research. Since 2012, the Health Care Systems Research Collaboratory has served as the resource coordinating center for 21 pragmatic clinical trial demonstration projects. The EHR Core working group invited these demonstration projects to complete a written semistructured survey and used an inductive approach to review responses and identify EHR-related challenges and suggested EHR enhancements. We received survey responses from 20 projects and identified 21 challenges that fell into 6 broad themes: (1) inadequate collection of patient-reported outcome data, (2) lack of structured data collection, (3) data standardization, (4) resources to support customization of EHRs, (5) difficulties aggregating data across sites, and (6) accessing EHR data. Based on these findings, we formulated 6 prerequisites for PCTs that would enable the conduct of pragmatic research: (1) integrate the collection of patient-centered data into EHR systems, (2) facilitate structured research data collection by leveraging standard EHR functions, usable interfaces, and standard workflows, (3) support the creation of high-quality research data by using standards, (4) ensure adequate IT staff to support embedded research, (5) create aggregate, multidata type resources for multisite trials, and (6) create re-usable and automated queries. We are hopeful our collection of specific EHR challenges and research needs will drive health system leaders, policymakers, and EHR designers to support these suggestions to improve our national capacity for generating real-world evidence.
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将多站点诊所工作流程映射到设计支持系统的干预措施。
DOI：
10.5334/egems.219
发表时间：
2017-06-14
期刊：
EGEMS (Washington, DC)
影响因子：
--
作者：
Coronado GD;Retecki S;Petrik AF;Coury J;Aguirre J;Taplin SH;Burdick T;Green BB
通讯作者：
Green BB
影响因子：
2.9
作者：
Grudzen, Corita R.;Brody, Abraham A.;Zimny, Erin
通讯作者：
Zimny, Erin
DOI：
10.1177/09645284211017303
发表时间：
2021-12
期刊：
Acupuncture in medicine : journal of the British Medical Acupuncture Society
影响因子：
--
作者：
Li H;Patil CL;Molokie RE;Njoku F;Steffen AD;Doorenbos AZ;Schlaeger JM
通讯作者：
Schlaeger JM
影响因子：
3.6
作者：
Gensheimer, Sarah G.;Wu, Albert W.;Snyder, Claire F.
通讯作者：
Snyder, Claire F.
DOI：
10.1093/jamia/ocaa196
发表时间：
2021-03-01
影响因子：
6.4
作者：
Haendel, Melissa A.;Chute, Christopher G.;Gersing, Ken R.
通讯作者：
Gersing, Ken R.