Analysis of Clinical Variations in Asthma Care Documented in Electronic Health Records Between Staff and Resident Physicians
Clinical documentation using free text to describe a patients medical status is an essential component of electronic health records(EHRs),and the quality of information in documents plays a critical role in clinical practice and translational research.Physicians are the primary creators of EHRs,but their clinical practices vary substantially,resulting in variations in clinical documentation.These variations can represent a source for potential bias in clinical outcomes and downstream applications using EHRs.Asthma is one example,presenting an inconsistent ascertainment process and criteria.A recent study revealed that resident physicians knowledge of asthma diagnosis and management is relatively limited.In this study,we examined clinical documentation variations in asthma care between staff and resident physicians using individual words,topics,and asthma-related concepts in EHR clinical narratives.Additionally,we discuss potential biases in building an informatics model and further compare asthma diagnosis and outcomes between two physician groups.
Asthma Documentation Electronic Health Records
Sunghwan Sohn Chung-Il Wi Young J Juhn Hongfang Liu
Department of Health Sciences Research,Mayo Clinic,Rochester,MN,USA Department of Pediatric and Adolescent Medicine,Mayo Clinic,Rochester,MN,USA
国际会议
第十六届世界医药健康信息学大会((MEDINFO2017)、第二届世界医药健康信息学华语论坛(WCHIS 2017)、第15届全国医药信息学大会(CMIA 2017)
苏州
英文
1170-1174
2017-08-21（万方平台首次上网日期，不代表论文的发表时间）