Electronic Medical Records (EMRs), Epidemiology, and Epistemology: Reflections on EMRs and Future Pediatric Clinical Research.

Electronic medical records (EMRs) are increasingly common in pediatric patient care. EMR data represent a relatively novel and rich resource for clinical research. The fact, however, that pediatric EMR data are collected for the purposes of clinical documentation and billing rather than research cre...

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Publicado en:Academic Pediatrics Vol. 11; no. 4; pp. 280 - 288
Autor principal: Wasserman, Richard C.
Formato: editorial Journal Article
Publicado: Elsevier B.V. Jul/Aug2011
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Electronic Medical Records (EMRs), Epidemiology, and Epistemology: Reflections on EMRs and Future Pediatric Clinical Research.
      aug:
        au: Wasserman, Richard C.
        affil: Department of Pediatrics, University of Vermont College of Medicine, Burlington, VT; Pediatric Research, Office Settings (PROS), American Academy of Pediatrics, Elk Grove Village, III; Children's Hospital of Philadelphia, Philadelphia, Pa
      sug:
        subj:
          Clinical Research In Infancy and Childhood
          Electronic Health Records
          Epidemiology
          Epistemology
          Information Technology
          Informatics
          Infant
          Child, Preschool
          Child
          Adolescence
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
      ab: Electronic medical records (EMRs) are increasingly common in pediatric patient care. EMR data represent a relatively novel and rich resource for clinical research. The fact, however, that pediatric EMR data are collected for the purposes of clinical documentation and billing rather than research creates obstacles to their use in scientific investigation. Particular issues include accuracy, completeness, comparability between settings, ease of extraction, and context of recording. Although these problems can be addressed through standard strategies for dealing with partially accurate and incomplete data, a longer-term solution will involve work with pediatric clinicians to improve data quality. As research becomes one of the explicit purposes for which pediatricians collect EMR data, the pediatric clinician will play a central role in future pediatric clinical research.
      pubtype: Academic Journal
      doctype:
        editorial
        Journal Article
      ougenre: Article
    language: English
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