Literature DB >> 29796069

Barriers to the secondary use of data in critical care.

Karl Prince1, Matthew Jones2, Alan Blackwell3, Alexander Simpson3, Sallyanne Meakins4, Alain Vuylsteke1,4.   

Abstract

PURPOSE: We explore the challenges of the secondary use of data in clinical information systems which critical care units in the National Health Service (England) are facing.
METHODS: We conducted an online survey of critical care units in England regarding their practices in collecting and using clinical information systems and data.
RESULTS: Critical care units use clinical information systems typically independently of hospital information systems and focus mainly on using data for auditing, management reporting and research. Respondents reported that extracting data from their clinical information system was difficult and that they would use stored data more if it were easier to access. Data extraction takes time and who extracts data, the training they receive and the tools they use affect the extraction and use of data.
CONCLUSION: A number of key challenges affect the secondary use of data in critical care: a lack of integration of information systems within critical care and across departments; barriers to accessing data; mismatched data tools and user requests. Data are predominantly used for reporting and research with less emphasis on using data to inform clinical practice.

Entities:  

Keywords:  Clinical information systems; data reuse; secondary data use

Year:  2017        PMID: 29796069      PMCID: PMC5956691          DOI: 10.1177/1751143717741082

Source DB:  PubMed          Journal:  J Intensive Care Soc        ISSN: 1751-1437


  6 in total

Review 1.  Systematic review: impact of health information technology on quality, efficiency, and costs of medical care.

Authors:  Basit Chaudhry; Jerome Wang; Shinyi Wu; Margaret Maglione; Walter Mojica; Elizabeth Roth; Sally C Morton; Paul G Shekelle
Journal:  Ann Intern Med       Date:  2006-04-11       Impact factor: 25.391

2.  The impact of computerised physician order entry on prescribing practices in a cardiothoracic intensive care unit.

Authors:  J Ali; L Barrow; A Vuylsteke
Journal:  Anaesthesia       Date:  2009-11-04       Impact factor: 6.955

3.  Adding value to the electronic health record through secondary use of data for quality assurance, research, and surveillance.

Authors:  William R Hersh
Journal:  Am J Manag Care       Date:  2007-06       Impact factor: 2.229

Review 4.  The benefits of health information technology: a review of the recent literature shows predominantly positive results.

Authors:  Melinda Beeuwkes Buntin; Matthew F Burke; Michael C Hoaglin; David Blumenthal
Journal:  Health Aff (Millwood)       Date:  2011-03       Impact factor: 6.301

5.  An operational research approach to identify cardiac surgery patients at risk of severe post-operative bleeding.

Authors:  Brian Reddy; Christina Pagel; Alain Vuylsteke; Caroline Gerrard; Sam Nashef; Martin Utley
Journal:  Health Care Manag Sci       Date:  2011-03-15

6.  Using EHR data to predict hospital-acquired pressure ulcers: a prospective study of a Bayesian Network model.

Authors:  Insook Cho; Ihnsook Park; Eunman Kim; Eunjoon Lee; David W Bates
Journal:  Int J Med Inform       Date:  2013-07-24       Impact factor: 4.046

  6 in total

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