From the Journal archives: Improving patient outcomes in the era of Big Data
From the Journal archives: Improving patient outcomes in the era of Big Data
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DOI：
10.1007/s12630-014-0146-5
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发表时间：
2014-10-01
影响因子：
4.2
通讯作者：
Ansermino, J. Mark
中科院分区：
文献类型：
--
作者：
Ansermino, J. Mark
目的：为了描述的细节和成本的发展，一个计算机化的数据库围手术期care.Principal调查结果：一个计算机化的数据库，包括17,000名患者在15个月的时间内的数据的实施进行了说明。将来自手写术中麻醉后护理记录和术后访视的无碳副本的信息转录到定制设计的数据库中，该数据库针对快速数据输入进行了优化。其他信息通过电子方式与医院管理数据库相匹配。通过强制复选框提示用户识别手术和术后记录中的不良事件。所有数据均由研究护士和麻醉师验证。回顾性病历审查显示差异发生率较低。估计成本为$4.00 per patient.Conclusions：准确记录患者的特征，护理过程，术中和术后不良事件有可能优化患者的预后，提高培训，改善资源分配。
Purpose: To describe the details and cost for the development of a computerized database of perioperative care.Principal findings: The implementation of a computerized database comprising data from 17,000 patients over a 15-month period was described. Information from carbonless copies of handwritten intraoperative postanesthetic care records and postoperative visits was transcribed into a custom-designed database optimized for rapid data entry. Additional information was matched electronically to hospital administrative databases. Users were prompted to identify adverse events on the operative and postoperative records by a compulsory checkbox. All data were verified by a research nurse and anesthesiologist. A retrospective chart review revealed a low incidence of discrepancies. The estimated costs were $4.00 per patient.Conclusions: An accurate record of patient characteristics, the process of care, and intraoperative and postoperative adverse events hold the potential to optimize patient outcomes, improve training, and improve allocation of resources.