Electronic merger of large health care data sets: cautionary notes from a study of agricultural morbidity in New York State.
Electronic merger of large health care data sets: cautionary notes from a study of agricultural morbidity in New York State.
复制标题
大型医疗保健数据集的电子合并：纽约州农业发病率研究的警示说明。
DOI：
10.1080/1059924x.2013.826608
复制
发表时间：
2013
影响因子：
2.4
通讯作者：
Jenkins,PaulL
中科院分区：
文献类型：
--
作者：
Scott,ErikaE;Krupa,NicoleL;Sorensen,Julie;Jenkins,PaulL
农业是工伤和死亡率最高的行业之一。行政医疗数据集一直被认为具有潜在的职业伤害监测。本研究探讨了在纽约州建立农业伤害监测系统的可行性，该系统结合了现有电子来源的数据。收到了包含事故性质、损伤类型、时间和日期以及患者处置的院前护理报告（PCR）数据。研究人员还从全州规划和研究合作系统（SPARCS）获得了2007年至2009年的医院住院和急诊科（艾德）记录。对于SPARCS数据，计算机算法使用国际疾病分类（ICD）-9代码确定了所有潜在的农业伤害案例。然后尝试使用事故日期、性别、年龄和入院医院匹配PCR和SPARCS数据。在与SPARCS匹配的PCR记录中，46.8%在随后的检查中发现实际上与同一事件无关。2007年和2008年PCR总数波动较大，分别为2 512 828和2 948 841。在SPARCS记录中，2007年、2008年和2009年分别确定了1275起、1336起和1393起农场伤害。这项研究表明，PCR和SPARCS记录的准确匹配需要使用唯一的个人标识符。此外，PCR计数的年度波动排除了其目前在监测系统中的使用。由SPARCS数据组成的电子数据集可用于监测，但随着PCR数据变得更加一致，将受益于增加PCR数据。
Agriculture ranks among industries with the highest rates of occupational injury and fatality. Administrative medical data sets have long been thought to have potential for occupational injury surveillance. This research explores the feasibility of establishing an agricultural injury surveillance system in New York State that combines data from existing electronic sources. Prehospital Care Report (PCR) data containing the nature of the accident, type of injury, time and date, and patient disposition were received. Researchers also obtained both hospital inpatient and emergency department (ED) records for 2007 through 2009 from the Statewide Planning and Research Cooperative System (SPARCS). For SPARCS data, a computer algorithm identified all potential cases of agricultural injury using International Classification of Diseases (ICD)-9 codes. An attempt was then made to match PCR and SPARCS data using accident date, gender, age, and admitting hospital. Of the PCR records that were matched to SPARCS, 46.8% were found on subsequent inspection to not actually relate to the same incident. Total PCR counts for 2007 and 2008 showed considerable fluctuation, at 2,512,828 and 2,948,841, respectively. A total of 1275, 1336, and 1393 farm injuries were identified in the SPARCS records for 2007, 2008, and 2009, respectively. This study demonstrates that accurate matching of PCR and SPARCS records requires the use of unique personal identifiers. Further, annual fluctuations in PCR counts preclude their current use in a surveillance system. An electronic data set consisting of SPARCS data could be used for surveillance, but would benefit from the addition of PCR data as these become more consistent.