Developing clinical informatics to support direct care and population health management: the VIEWER story.

IF 4.4 Q1 HEALTH CARE SCIENCES & SERVICES
Robert Harland, Tao Wang, David Codling, Catherine Polling, Matthew Broadbent, Holly Newton, Yamiko Joseph Msosa, Daisy Kornblum, Claire Delaney-Pope, Barbara Arroyo, Stuart MacLellan, Zoe Keddie, Mary Jane Docherty, Angus Roberts, Derek Tracy, Philip Mcguire, Richard J B Dobson, Robert Stewart
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引用次数: 0

Abstract

Electronic health records (EHRs) provide comprehensive patient data, which could be better used to enhance informed decision-making, resource allocation and coordinated care, thereby optimising healthcare delivery. However, in mental healthcare, critical information, such as on risk factors, precipitants and treatment responses, is often embedded in unstructured text, limiting the ability to automate at scale measures to identify and prioritise local populations and patients, which potentially hinders timely prevention and intervention. We describe the development and proof-of-concept implementation of Visual & Interactive Engagement With Electronic Records, a clinical informatics platform designed to enhance direct patient care and population health management by improving the accessibility and usability of EHR data. We further outline strategies that were employed in this work to foster informatics innovation through interdisciplinary and cross-organisational collaboration to support integrated, personalised care and detail how these advancements were piloted and implemented within a large UK mental health National Health Service Foundation Trust to improve patient outcomes at an individual patient, clinician, clinical team and organisational level.

发展临床信息学以支持直接护理和人口健康管理:观察者的故事。
电子健康记录(EHRs)提供全面的患者数据,可以更好地用于加强知情决策、资源分配和协调护理,从而优化医疗保健服务。然而,在精神卫生保健领域,诸如风险因素、促发因素和治疗反应等关键信息往往嵌入在非结构化文本中,限制了大规模措施自动化识别和优先考虑当地人群和患者的能力,这可能会妨碍及时预防和干预。我们描述了可视化和交互式电子记录的开发和概念验证实现,这是一个临床信息平台,旨在通过改善电子病历数据的可访问性和可用性来增强直接患者护理和人口健康管理。我们进一步概述了在这项工作中采用的策略,通过跨学科和跨组织的合作来促进信息学创新,以支持综合的个性化护理,并详细说明了这些进步是如何在大型英国精神卫生国家卫生服务基金会信托基金中进行试点和实施的,以改善个体患者,临床医生,临床团队和组织层面的患者结果。
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
CiteScore
6.10
自引率
4.90%
发文量
40
审稿时长
18 weeks
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