Creation and Use of an Electronic Health Record Reporting Database to Improve a Laboratory Test Utilization Program
Creation and Use of an Electronic Health Record Reporting Database to Improve a Laboratory Test Utilization Program
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DOI：
10.1055/s-0038-1666843
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发表时间：
2018-07-01
影响因子：
2.9
通讯作者：
Dighe, Anand S.
中科院分区：
文献类型：
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作者：
Kurant, Danielle E.;Baron, Jason M.;Dighe, Anand S.
目标 基于实验室的利用率管理计划通常主要依靠从实验室信息系统获得的数据来分析测试量的趋势和利用率问题。我们希望检查电子健康记录 (EHR) 实验室订单数据库改善实验室利用计划的能力。方法我们从 EHR 中获取了一份每日文件，其中包含与实验室测试订单相关的数据。然后，我们使用自动化流程将此文件导入数据库，以方便自助查询和分析。结果 EHR 实验室订单数据库已被证明是我们利用率管理计划的重要补充。我们提供了三个代表性示例，说明如何使用 EHR 实验室订单数据库来解决常见的使用问题。我们证明，对 EHR 实验室订单数据的分析能够提供独特的见解，这是仅通过审查实验室信息系统数据无法获得的。此外，我们还提供了对实验室利用工作重要的关键 EHR 数据字段的建议。 结论 我们证明，EHR 实验室订单数据库可能是监控和优化实验室测试的有用工具。我们建议医疗保健系统开发和维护 EHR 实验室订单数据数据库，并将这些数据与其实验室利用计划相整合。
Objectives Laboratory-based utilization management programs typically rely primarily on data derived from the laboratory information system to analyze testing volumes for trends and utilization concerns. We wished to examine the ability of an electronic health record (EHR) laboratory orders database to improve a laboratory utilization program.Methods We obtained a daily file from our EHR containing data related to laboratory test ordering. We then used an automated process to import this file into a database to facilitate self-service queries and analysis.Results The EHR laboratory orders database has proven to be an important addition to our utilization management program. We provide three representative examples of how the EHR laboratory orders database has been used to address common utilization issues. We demonstrate that analysis of EHR laboratory orders data has been able to provide unique insights that cannot be obtained by review of laboratory information system data alone. Further, we provide recommendations on key EHR data fields of importance to laboratory utilization efforts.Conclusion We demonstrate that an EHR laboratory orders database may be a useful tool in the monitoring and optimization of laboratory testing. We recommend that health care systems develop and maintain a database of EHR laboratory orders data and integrate this data with their laboratory utilization programs.