Pioneering Health Information Technology (R00)

开创性的健康信息技术 (R00)

基本信息

批准号：
9012888
负责人：
Meredith Nahm Zozus
金额：
$ 24.15万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-04-01 至 2016-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9012888
关键词：
Address Adverse drug event Advocate American Area Aviation Businesses Caring Cessation of life Clinical Clinical Data Clinical Research Code Data Data Quality Decision Making Development Disease Doctor of Philosophy Ecology Electronic Health Record Fostering Foundations Goals Government Guidelines Health Health Information System Health Personnel Health system Healthcare Human Hypertension Industry Informatics Injury Knowledge Measures Mentors Methodology Methods Patients Phase Public Health Public Health Informatics Randomized Controlled Clinical Trials Reporting Research Research Personnel Safety Screening for cancer Semantics Societies Solutions Standardization System Testing Time Translating Trust United States Agency for Healthcare Research and Quality Variant Work base blood pressure regulation career career development colorectal cancer screening computerized cost experience health information technology health record improved investigator training pressure prevent primary care setting programs willingness

项目摘要

DESCRIPTION (provided by applicant): This Career Development Application provides targeted coursework and mentored research necessary for progression to independent research in the interdisciplinary area of health information quality. Data and information in health records are used in decision making in the clinical setting, for billing, and for important secondary uses such as quality improvement and research. Inaccurate, incomplete, or inaccessible information may jeopardize clinical decisions, and may deter clinicians from using health information systems, thus undermining the gains in healthcare safety and quality that we seek through Health Informatics and Health IT. Our ability to improve human health through informatics relies on acceptable information quality. Thus, it is imperative that information quality methodology in healthcare keep pace with advances in other areas of health informatics. Therefore, the specific aims of the mentored (M) and independent (R) research phases are: Aim M1: Identify and characterize factors in clinician willingness to use information provided by others in decision making, e.g., information in EHRs, or information from Health Information Exchanges (HIEs). Aim M2: Develop and validate indicators of information quality, e.g., a quality score that will increase clinician willingness to use appropriate quality information provided by others. Aim M3: Evaluate methodology to test the impact of poor information quality on clinical decisions in hypertension and colorectal cancer screening patients. Aim R1: Extend the work in aim M1 to other clinical facilities to achieve greater generalizability. Aim R2: Test whether knowledge information quality impacts information use in clinical guideline-based decisions in hypertension and colorectal cancer screening patients. Aim R3: Test the impact of improving information quality on blood pressure control in hypertensive patients in the primary care setting using a randomized, controlled clinical trial. This significant work initiates a formal program of research in an uncharted area. The applicant, Meredith Nahm, PhD has completed doctoral study in Health Informatics and has considerable career and early research experience characterizing and assessing clinical data quality. These aims probe the need for information quality research in healthcare, and pilot methodology to assess the impact of information quality and knowledge of information quality on clinical decisions. Positive results from this research will provide methodology for information quality improvement that targets clinically important information.

描述（由申请人提供）：该职业发展应用程序提供了在健康信息质量跨学科领域进行独立研究所需的有针对性的课程和指导研究。健康记录中的数据和信息用于临床环境中的决策、计费以及重要的二次用途，例如质量改进和研究。不准确、不完整或无法访问的信息可能会危及临床决策，并可能阻止临床医生使用健康信息系统，从而破坏我们通过健康信息学和健康 IT 寻求的医疗保健安全和质量方面的成果。我们通过信息学改善人类健康的能力依赖于可接受的信息质量。因此，医疗保健中的信息质量方法必须与健康信息学其他领域的进步保持同步。因此，指导（M）和独立（R）研究阶段的具体目标是：目标 M1：识别并描述临床医生在决策中愿意使用他人提供的信息的因素，例如 EHR 中的信息或来自健康信息交换 (HIE) 的信息。目标 M2：制定并验证信息质量指标，例如，质量评分将提高临床医生使用其他人提供的适当质量信息的意愿。目标 M3：评估方法来测试不良信息质量对高血压和结直肠癌筛查患者临床决策的影响。目标 R1：将目标 M1 的工作扩展到其他临床设施，以实现更大的普遍性。目标 R2：测试知识信息质量是否影响高血压和结直肠癌筛查患者基于临床指南的决策中的信息使用。目标 R3：使用随机对照临床试验来测试提高信息质量对初级保健机构中高血压患者血压控制的影响。这项重要的工作启动了一个未知领域的正式研究计划。申请人 Meredith Nahm 博士已完成健康信息学博士研究，在表征和评估临床数据质量方面拥有丰富的职业和早期研究经验。这些目标探讨了医疗保健领域对信息质量研究的需求，以及评估信息质量和信息质量知识对临床决策影响的试点方法。这项研究的积极结果将为针对临床重要信息的信息质量改进提供方法。