Integrating feedback from a clinical data warehouse into practice organisation
Integrating feedback from a clinical data warehouse into practice organisation
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DOI：
10.1016/j.ijmedinf.2005.07.037
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发表时间：
2006-03-01
影响因子：
4.9
通讯作者：
Desautels, M
中科院分区：
文献类型：
--
作者：
Grant, A;Moshyk, A;Desautels, M
一个面向病人的医院信息系统（ARIANE）于1990年在舍布鲁克大学医院（CHUS）落成，一个临床数据仓库（CDW）于2004年建成。CDW每24小时从ARIANE更新一次，包括ICD出院诊断数据、访视DRG和SNOMED编码。数据在存储时加密。根据机构批准访问数据。为了方便数据访问，两个级别的toot已经可以使用网络浏览器访问。第一级由一个“仪表板”组成，该仪表板具有定义的设计，并启用一组关于患者群体的预定动态查询。这个级别可以用最少的训练操作。第二个层次使用一个有趣的数据库查询toot，这需要一些预先的训练。已设计了两个原型仪表板，并对其可接受性进行了评价。第一个用于急诊科，可以分析患者占用情况。第二个用于生物化学部门，可进行质量保证评价。在世界范围内的大多数情况下，临床数据仓库才刚刚开始被利用，通常受到不同企业数据库之间连接的阻碍。我们的CDW预计将迅速创造一个文化的变化，使临床实践可以不断评估使用汇编数据随时从电子健康记录/医院信息系统。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
A patient oriented hospital information system (ARIANE) was inaugurated at the Sherbrooke University hospital (CHUS) in 1990 and a clinical data warehouse (CDW) completed 2004. The CDW is updated from ARIANE every 24 h and includes ICD discharge diagnosis data, visit DRG and SNOMED encoding. The data is encrypted on storage. Data is accessed according to institutional approval. To facilitate data access two levels of toot have been made accessible using a web-browser. The first level consists of a 'dashboard' that has a defined design and enables a set of pre-determined dynamic queries about a patient population. This level can be operated with minimal training. The second level uses a convivial database query toot, which requires some prior training. Two prototype dashboards have been designed and evaluated for acceptability. The first for the emergency department enables analysis of patient occupancy. The second for the biochemistry department enables quality assurance evaluation. In most cases worldwide the clinical data warehouse is only beginning to be exploited, often impeded by tack of connection between different enterprise databases. Our CDW is expected rapidly to create a culture change so that clinical practice can be continuously evaluated using compiled data readily available from the electronic health record/hospital information system. (c) 2005 Elsevier Ireland Ltd. All rights reserved.