Data Extraction using EDR in Dental PBRN

描述(申请人提供)：以实践为基础的研究对改善口腔健康至关重要。国家牙科和颅面研究所(NIDCR)计划继续和扩大其以实践为基础的研究计划，首先是在2005年投资7500万美元建立三个以实践为基础的研究网络(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过程分开的过程记录并输入计算机的。这些研究没有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，例如使临床数据立即可用于临床、流行病学和结果研究；减少或避免二次数据输入；以及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使用EDR的数据来改善患者护理及其结果。本项目的目标是开发一种基于实践的临床研究中提取EDR数据的通用方法，使用Dentrix作为测试系统。在我们的第一个具体目标中，我们将通过挖掘100名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，来确定对从业者研究有用的临床数据元素的利用率。第二个具体目标将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相结合。我们将配置Dentrix的eSync产品，这是一个允许外部计算机系统从Dentrix数据库提取数据的程序，以重复使用选定的数据用于临床研究。在最后一个具体目标中，我们将在五个牙科诊所中试行使用该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基于牙科实践的电子研究网络，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将被设计为可扩展到任何EDR，就像我们的合作组织，电子医疗PBRN分布式动态治疗研究网络已经做到的那样。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以实践为基础的研究，从而提高效率；使数据可用于实时验证并整合到研究数据集中；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以用于实时流行病学调查、疾病登记册的开发和疾病暴发的监测。该项目是使越来越多的电子临床数据可用于改善研究、临床护理和患者结果的第一步。 公共卫生相关性：该项目建议开发和测试一种从电子牙科记录系统中提取临床数据的通用方法的可行性，以支持基于实践的牙科PBRN临床研究。

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. PUBLIC HEALTH RELEVANCE: This project proposes to develop and test the feasibility of a generalizable approach to extracting clinical data from electronic dental record systems to support practice-based, clinical research in dental PBRNs.