Simple Workflow Changes Enable Effective Patient Identity Matching in Poison Control.

Simple Workflow Changes Enable Effective Patient Identity Matching in Poison Control.
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DOI:
10.1055/s-0038-1667000
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发表时间:
2018-07
影响因子:
2.9
通讯作者:
Hoffman M
Hoffman M
中科院分区:
医学3区
文献类型:
--
作者:
Cummins MR;Ranade-Kharkar P;Johansen C;Bennett H;Gabriel S;Crouch BI;Del Fiol G;Hoffman M

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背景美国 中毒控制中心提出了患者身份匹配的特殊情况,因为它们仅收集最少的患者识别信息。 方法2017年初,犹他州毒物控制中心(犹他州PCC)通过向犹他州卫生信息网络和山间医疗保健机构发送健康7级综合临床文件架构(C-CDA)文件,开始参与区域卫生信息交换。 为了增加犹他州PCC对患者标识符的记录,我们(1)调整了记录实践,以实现更完整和一致的记录,(2)实施了员工培训,以改善标识符的收集。 结果与2016年同期相比,犹他州PCC在收集转诊至医疗机构的病例的出生日期方面增加了27%(p <0.001),而收集其他标识符的改善幅度为0 - 8%。 77%(100/130)的C-CDA的自动患者身份匹配成功。 结论:匹配患者身份的历史流程和程序需要调整或添加功能,以充分支持PCC用例。 
Background  U.S. poison control centers pose a special case for patient identity matching because they collect only minimal patient identifying information. Methods  In early 2017, the Utah Poison Control Center (Utah PCC) initiated participation in regional health information exchange by sending Health Level Seven Consolidated Clinical Document Architecture (C-CDA) documents to the Utah Health Information Network and Intermountain Healthcare. To increase the documentation of patient identifiers by the Utah PCC, we (1) adapted documentation practices to enable more complete and consistent documentation, and (2) implemented staff training to improve collection of identifiers. Results  Compared with the same time period in 2016, the Utah PCC showed an increase of 27% ( p  < 0.001) in collection of birth date for cases referred to a health care facility, while improvements in the collection of other identifiers ranged from 0 to 8%. Automated patient identity matching was successful for 77% (100 of 130) of the C-CDAs. Conclusion  Historical processes and procedures for matching patient identities require adaptation or added functionality to adequately support the PCC use case.
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