Automated data extraction: merging clinical care with real-time cohort-specific research and quality improvement data.
J Pediatr Surg
; 52(1): 149-152, 2017 Jan.
Article
em En
| MEDLINE
| ID: mdl-27865473
ABSTRACT
BACKGROUND/PURPOSE:
Although prohibitively labor intensive, manual data extraction (MDE) is the prevailing method used to obtain clinical research and quality improvement (QI) data. Automated data extraction (ADE) offers a powerful alternative. The purposes of this study were to 1) assess the feasibility of ADE from provider-authored outpatient documentation, and 2) evaluate the effectiveness of ADE compared to MDE.METHODS:
A prospective collection of data was performed on 90 ADE-templated notes (N=71 patients) evaluated in our bowel management clinic. ADE captured data were compared to 59 MDE notes (N=51) collected under an IRB-exempt review. Sixteen variables were directly comparable between ADE and MDE.RESULTS:
MDE for 59 clinic notes (27 unique variables) took 6months to complete. ADE-templated notes for 90 clinic notes (154 unique variables) took 5min to run a research/QI report. Implementation of ADE included eight weeks of development and testing. Pre-implementation clinical documentation was similar to post-implementation documentation (5-10min).CONCLUSIONS:
ADE-templated notes allow for a 5-fold increase in clinically relevant data that can be captured with each encounter. ADE also results in real-time data extraction to a research/QI database that is easily queried. The immediate availability of these data, in a research-formatted spreadsheet, allows for rapid collection, analyses, and interpretation of the data. LEVEL OF EVIDENCE IV. TYPE OF STUDY Retrospective Study.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Processamento Eletrônico de Dados
/
Documentação
/
Melhoria de Qualidade
Tipo de estudo:
Guideline
/
Observational_studies
Limite:
Aged
/
Humans
/
Middle aged
Idioma:
En
Revista:
J Pediatr Surg
Ano de publicação:
2017
Tipo de documento:
Article