RECORD: RELIABLE ELECTRONIC CAPTURE OF RELEVANT DATA

目前在卫生保健中使用的电子医疗记录在作为信息提供者的患者与健康记录的创建之间造成了障碍。该提案将在nlm资助的PING（个人互联网公证和监护人）项目中执行。具体目标是：1)设计一个基于网络的工具，使父母能够将历史数据直接报告到电子病历中；2)衡量父母为其孩子输入的病史的质量。我将分两个阶段开发和测试这个信息工具。首先，研究从不同结构的用户界面收集的信息的数量和质量的迭代过程将发生。用户在界面上的反馈将与获取信息的内容分析相结合，形成一个全面的访谈，涵盖父母/孩子在急症就诊时所经历的五种常见症状。面试将在第二阶段进行部署和测试。有效性将通过父母生成的记录和医生生成的最终记录之间的一致性百分比来衡量。具体项目的分歧将进一步研究，以检验父母报告将强调比医生的图表反映更高水平的症状敏锐度的假设。

Current use of electronic medical records in health care creates barriers between the patient as a provider of information and the creation of the health record. This proposal will be executed within the NLM-funded PING (Personal Internetworked Notary and Guardian) project. The specific aims are: 1) to design a web- based tool to enable parents' direct report of historical data into the electronic medical record, and 2) to measure the quality of medical histories entered by a parent for his/her child. I will develop and test this informational tool in two stages. First, an iterative process to study the quantity and quality of information gathered from user-interfaces of varying structures will occur. User feedback on the interface will be combined with content analysis of acquired information to produce a comprehensive interview covering five common symptoms experienced by a parent/child dyad in an acute illness visit. The interview will be deployed and tested in stage two. Validity will be measured by percent agreement between the parent-generated record and the final physician-generated record. Item-specific disagreement will be further studied to test the hypothesis that parental report will emphasize a higher level of symptom acuity than that reflected in the physician's charting.