J Am Med Inform Assoc - Data standards to support health information exchange between poison control centers and emergency departments.

Tópicos

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Resumo

JECTIVE: Poison control centers (PCCs) routinely collaborate with emergency departments (EDs) to provide care for poison-exposed patients. During this process, a significant amount of information is exchanged between EDs and PCCs via telephone, leading to important inefficiencies and safety vulnerabilities. In the present work, we identified and assessed a set of data standards to enable a standards-based health information exchange process between EDs and PCCs.MATERIALS AND METHODS: Based on a reference model for PCC-ED health information exchange, we (1) mapped PCC-ED information exchange events to clinical documents specified in the Health Level Seven (HL7) Consolidated Clinical Document Architecture (C-CDA) Standard, and (2) mapped information types routinely exchanged in PCC-ED telephone conversations to C-CDA sections.RESULTS: Four C-CDA document types were necessary to support the PCC-ED information exchange process: History & Physical Note, Consultation Note, Progress Note, and Discharge Summary. Information types that are commonly exchanged between PCCs and EDs can be reasonably well represented within these C-CDA documents.CONCLUSIONS: A standards-based health information exchange process between PCCs and EDs appears to be feasible given a set of clinical data standards that are required for EHR certification in the USA, although the proposed approach still needs to be validated in actual system implementations. Such a process has the potential to improve the safety and efficiency of PCC-ED communication, ultimately resulting in improved patient care outcomes.

Resumo Limpo

jectiv poison control center pccs routin collabor emerg depart ed provid care poisonexpos patient process signific amount inform exchang ed pccs via telephon lead import ineffici safeti vulner present work identifi assess set data standard enabl standardsbas health inform exchang process ed pccsmateri method base refer model pcced health inform exchang map pcced inform exchang event clinic document specifi health level seven hl consolid clinic document architectur ccda standard map inform type routin exchang pcced telephon convers ccda sectionsresult four ccda document type necessari support pcced inform exchang process histori physic note consult note progress note discharg summari inform type common exchang pccs ed can reason well repres within ccda documentsconclus standardsbas health inform exchang process pccs ed appear feasibl given set clinic data standard requir ehr certif usa although propos approach still need valid actual system implement process potenti improv safeti effici pcced communic ultim result improv patient care outcom

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