Data Extraction using EDR in Dental PBRN

在牙科 PBRN 中使用 EDR 进行数据提取

• 批准号: 8766941
• 负责人: TITUS K. SCHLEYER
• 金额: $ 5.97万
• 依托单位: INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-06-22 至 2015-05-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8766941
• 关键词: Data; Extraction; using; EDR; Dental

DESCRIPTION (provided by applicant): Practice-based research is crucial for improving oral health. The National Institute of Dental and Craniofacial Research (NIDCR) plans to continue and extend its practice-based research initiative, begun with a $75 million investment to establish three practice-based research networks (PBRNs) in 2005. At present, research data in dental PBRN studies are recorded and entered into the computer through a process that is separate from that used to manage clinical data. The studies do not reuse data that a clinician may already have recorded in an electronic dental record (EDR). Thus, dental PBRNs forego the many benefits of reusing data from electronic patient records for research, such as making clinical data available immediately for clinical, epidemiologic and outcomes research; reducing or avoiding secondary data entry; and facilitating longitudinal data collection and conducting cross-PBRN studies. The long-term goal of our research is to use data from EDR to improve patient care and its outcomes. The objective of this project is to develop a generalizable method for extracting EDR data for practice-based clinical research, using Dentrix as the test system. In our first specific aim, we will determine the utilization of clinical data elements useful for research by practitioners by mining the electronic dental records of 100 Dentrix users and generating summary statistics about patient documentation patterns by data field. The second specific aim will develop a technical Infrastructure for extracting data from Dentrix and integrating them with manually collected research data. We will configure Dentrix's eSync product, a program that allows external computer systems to extract data from a Dentrix database, to reuse selected data for clinical research. In the last specific aim, we will pilot-test the feasibility of conducting a clinical study using the infrastructure in five dental practices. In the process, we will validate the completeness and correctness of research data extracted from Dentrix and evaluate system efficiency, usability and user acceptance. The main outcome of this project will be the electronic Dental Practice-Based Research Network, a generalizable method for extracting clinical data from EDRs and reusing them for practice-based research. The ePBRN will be architected to be extensible to any EDR, as our partnering organization, the electronic medical PBRN Distributed Ambulatory Research in Therapeutics Network has already done. The approach we will develop will facilitate practice-based research by reducing clinician workload and secondary data entry, thereby increasing efficiency; making data available for real-time validation and integration into study data sets; and providing an impetus for designing research functions into EDRs. The methods we will develop can also be used for real-time epidemiologic surveys, development of disease registries and the monitoring of disease outbreaks. This project is a first step in making the increasing amount of electronic clinical data available for improving research, clinical care and patient outcomes.

描述（由申请人提供）：基于实践的研究对于改善口腔健康至关重要。美国国家牙科和颅面研究所 (NIDCR) 计划继续并扩展其基于实践的研究计划，该计划最初于 2005 年投资 7500 万美元建立三个基于实践的研究网络 (PBRN)。目前，牙科 PBRN 研究中的研究数据是通过与管理临床数据的流程分开的流程来记录和输入计算机的。这些研究不会重复使用临床医生可能已经记录在电子牙科记录 (EDR) 中的数据。因此，牙科 PBRN 放弃了重复使用电子患者记录中的数据进行研究的许多好处，例如立即提供临床数据用于临床、流行病学和结果研究；减少或避免二次数据输入；促进纵向数据收集和进行跨 PBRN 研究。我们研究的长期目标是利用 EDR 数据来改善患者护理及其结果。该项目的目标是开发一种通用方法，使用 Dentrix 作为测试系统，为基于实践的临床研究提取 EDR 数据。在我们的第一个具体目标中，我们将通过挖掘 100 位 Dentrix 用户的电子牙科记录并按数据字段生成有关患者文档模式的汇总统计数据，确定对从业者研究有用的临床数据元素的利用。第二个具体目标是开发一个技术基础设施，用于从 Dentrix 提取数据并将其与手动收集的研究数据集成。我们将配置 Dentrix 的 eSync 产品，该程序允许外部计算机系统从 Dentrix 数据库中提取数据，以便将选定的数据重新用于临床研究。在最后一个具体目标中，我们将试点测试在五个牙科诊所使用基础设施进行临床研究的可行性。在此过程中，我们将验证从 Dentrix 提取的研究数据的完整性和正确性，并评估系统效率、可用性和用户接受度。该项目的主要成果将是电子牙科实践研究网络，这是一种从 EDR 中提取临床数据并将其重新用于基于实践的研究的通用方法。 ePBRN 的架构将可扩展至任何 EDR，正如我们的合作组织电子医疗 PBRN 治疗网络分布式流动研究已经做到的那样。我们将开发的方法将通过减少临床医生的工作量和二次数据输入来促进基于实践的研究，从而提高效率；使数据可用于实时验证并集成到研究数据集中；并为将研究功能设计到 EDR 中提供动力。我们将开发的方法还可用于实时流行病学调查、疾病登记和疾病爆发监测。该项目是使越来越多的电子临床数据可用于改善研究、临床护理和患者治疗结果的第一步。