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Quality improvement and practice-based research in neurology using the electronic medical record

機(jī)譯：使用電子病歷的神經(jīng)病學(xué)質(zhì)量改進(jìn)和基于實(shí)踐的研究

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We describe quality improvement and practice-based research using the electronic medical record (EMR) in a community health system–based department of neurology. Our care transformation initiative targets 10 neurologic disorders (brain tumors, epilepsy, migraine, memory disorders, mild traumatic brain injury, multiple sclerosis, neuropathy, Parkinson disease, restless legs syndrome, and stroke) and brain health (risk assessments and interventions to prevent Alzheimer disease and related disorders in targeted populations). Our informatics methods include building and implementing structured clinical documentation support tools in the EMR; electronic data capture; enrollment, data quality, and descriptive reports; quality improvement projects; clinical decision support tools; subgroup-based adaptive assignments and pragmatic trials; and DNA biobanking. We are sharing EMR tools and deidentified data with other departments toward the creation of a Neurology Practice-Based Research Network. We discuss practical points to assist other clinical practices to make quality improvements and practice-based research in neurology using the EMR a reality.
機(jī)譯：我們描述了基于社區(qū)衛(wèi)生系統(tǒng)的神經(jīng)病學(xué)部門使用電子病歷（EMR）進(jìn)行質(zhì)量改進(jìn)和基于實(shí)踐的研究。我們的護(hù)理轉(zhuǎn)型計(jì)劃針對10種神經(jīng)系統(tǒng)疾?。ù竽X腫瘤，癲癇，偏頭痛，記憶障礙，輕度顱腦損傷，多發(fā)性硬化癥，神經(jīng)病，帕金森病，不安腿綜合征和中風(fēng)）和腦部健康（風(fēng)險(xiǎn)評估和干預(yù)措施，以預(yù)防阿爾茨海默氏癥）疾病和相關(guān)人群的疾?。?。我們的信息學(xué)方法包括在EMR中建立和實(shí)施結(jié)構(gòu)化的臨床文檔支持工具；電子數(shù)據(jù)捕獲；招生，數(shù)據(jù)質(zhì)量和描述性報(bào)告；質(zhì)量改進(jìn)項(xiàng)目；臨床決策支持工具；基于小組的適應(yīng)性作業(yè)和務(wù)實(shí)試驗(yàn)；和DNA生物庫。我們正在與其他部門共享EMR工具和身份不明的數(shù)據(jù)，以建立基于神經(jīng)病學(xué)實(shí)踐的研究網(wǎng)絡(luò)。我們討論實(shí)用點(diǎn)，以協(xié)助其他臨床實(shí)踐使用EMR實(shí)現(xiàn)神經(jīng)病學(xué)的質(zhì)量改進(jìn)和基于實(shí)踐的研究。

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