Secondary use of health records for prediction, detection, and treatment planning in the clinical decision support system: a systematic review.

IF 3.3 3区医学 Q2 MEDICAL INFORMATICS

BMC Medical Informatics and Decision Making Pub Date : 2025-05-16 DOI:10.1186/s12911-025-03021-8

Dipendra Pant, Øystein Nytrø, Bennett L Leventhal, Carolyn Clausen, Kaban Koochakpour, Line Stien, Odd Sverre Westbye, Roman Koposov, Thomas Brox Røst, Thomas Frodl, Norbert Skokauskas

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引用次数: 0

Abstract

Background: This study aims to understand how secondary use of health records can be done for prediction, detection, treatment recommendations, and related tasks in clinical decision support systems.

Methods: Articles mentioning the secondary use of EHRs for clinical utility, specifically in prediction, detection, treatment recommendations, and related tasks in decision support were reviewed. We extracted study details, methods, tools, technologies, utility, and performance.

Results: We found that secondary uses of EHRs are primarily retrospective, mostly conducted using records from hospital EHRs, EHR data networks, and warehouses. EHRs vary in type and quality, making it critical to ensure their completeness and quality for clinical utility. Widely used methods include machine learning, statistics, simulation, and analytics. Secondary use of health records can be applied in any area of medicine. The selection of data, cohorts, tools, technology, and methods depends on the specific clinical utility.

Conclusion: The process for secondary use of health records should include three key steps: 1. Validation of the quality of EHRs, 2. Use of methods, tools, and technologies with proactive training, and 3. Multidimensional assessment of the results and their usefulness.

Trial registration: PROSPERO registration number CRD42023409582.

查看原文本刊更多论文

在临床决策支持系统中，健康记录用于预测、检测和治疗计划的二次使用：系统回顾。

背景：本研究旨在了解如何在临床决策支持系统中对健康记录的二次利用进行预测、检测、治疗建议和相关任务。方法：回顾有关电子病历在预测、检测、治疗建议及决策支持等方面的临床应用的文献。我们提取了研究细节、方法、工具、技术、效用和性能。结果：我们发现电子病历的二次使用主要是回顾性的，主要使用来自医院电子病历、电子病历数据网络和仓库的记录。电子病历的类型和质量各不相同，因此确保其完整性和质量对于临床应用至关重要。广泛使用的方法包括机器学习、统计、模拟和分析。医疗记录的二次利用可以应用于任何医学领域。数据、队列、工具、技术和方法的选择取决于具体的临床用途。结论：病历二次利用流程应包括三个关键步骤：1.病历二次利用流程；2.电子病历质量验证；使用方法、工具和技术进行前瞻性培训；对结果及其有用性进行多维评估。试验注册：普洛斯彼罗注册号CRD42023409582。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMC Medical Informatics and Decision Making 医学-医学：信息

CiteScore

7.20

自引率

5.70%

发文量

297

审稿时长

1 months

期刊介绍： BMC Medical Informatics and Decision Making is an open access journal publishing original peer-reviewed research articles in relation to the design, development, implementation, use, and evaluation of health information technologies and decision-making for human health.