EAGER: Synthesizing Notes from Electronic Health Records to Make Them Actionable for Heart Failure Patients

EAGER：综合电子健康记录中的注释，使其对心力衰竭患者可采取行动

• 批准号: 1723454
• 负责人: Jodi Forlizzi
• 金额: $ 30万
• 依托单位: Carnegie-Mellon University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-06-15 至 2020-05-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1723454&HistoricalAwards=false
• 关键词: EAGER; Synthesizing; Notes; Electronic; Health

This Early-concept Grant for Exploratory Research aims to help patients and caregivers have increased access to electronic health information. The research focuses on the Electronic Health Record (EHR). In 1996, the Health Insurance Portability and Accountability Act entitled patients the right to obtain their medical records on request. With greater patient access, patients may become more invested in the management of their own health care and take better care of themselves. While there have been some advances in communicating EHR content to patients, physicians' and nurses' notes are not easy to convey due to communication intent of clinicians and the social and cultural issues that surround diagnosis and care. Advances from this work will reduce gaps in the care process, potentially impact consumer side patient care, and become the basis for future systems development.The research investigates new and more effective presentations of this information to patients (e.g., graphic, abstracted, actionable). The project includes the following activities: 1) collect patient notes and the communicative intent for both clinicians and patients to reveal the gap between intention and interpretation; 2) iterate on new textual and visual summaries by hand until they achieve the intended communication with patients. The proposal team's expertise will be leveraged in designing abstractions of information to help people make decisions and positively change their behavior under stress or uncertainty to undertake these activities.

这项对探索性研究的早期概念赠款旨在帮助患者和看护人增加获得电子健康信息的机会。该研究的重点是电子健康记录（EHR）。 1996年，《健康保险可移植性和问责制法》有权根据要求获得其病历的权利。随着患者的访问，患者可能会更多地投入到自己的医疗保健管理上，并更好地照顾自己。尽管由于临床医生的沟通以及围绕诊断和护理的社会和文化问题的沟通，医生和护士的注释在向患者传达EHR内容方面取得了一些进展，但医生和护士的笔记并不容易传达。这项工作的进步将减少护理过程中的差距，潜在地影响消费者侧患者护理，并成为未来系统开发的基础。研究调查了向患者（例如，图形，摘要，可操作）的新信息介绍此信息。该项目包括以下活动：1）收集患者笔记以及临床医生和患者的交流意图，以揭示意图与解释之间的差距； 2）手工迭代新的文本和视觉摘要，直到他们与患者进行预期的沟通。 提案团队的专业知识将被利用在设计信息抽象方面，以帮助人们做出决策，并在压力或不确定性下积极改变其行为以进行这些活动。