Garbage In, Garbage Out? Negative Impact of Physiological Waveform Artifacts in a Hospital Clinical Data Warehouse.

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Medical Systems Pub Date : 2024-11-25 DOI:10.1007/s10916-024-02128-1
Frederick H Kuo, Mohamed A Rehman, Luis M Ahumada
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Abstract

Hospitals around the world are deploying increasingly advanced systems to collect and store high-resolution physiological patient data for quality improvement and research. However, data accuracy, completeness, consistency, and contextual validity remain issues. This report highlights a data artifact known as waveform clipping in our hospital's physiological data capture system that went unnoticed for years, limiting data analysis and delaying several research projects. We aim to raise awareness in the medical informatics community about the importance of careful system setup, ongoing data validation, and close cooperation between clinicians and data scientists.

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垃圾进,垃圾出?医院临床数据仓库中生理波形伪影的负面影响。
世界各地的医院正在部署越来越先进的系统,以收集和存储高分辨率的病人生理数据,用于质量改进和研究。然而,数据的准确性、完整性、一致性和上下文的有效性仍然是个问题。本报告重点介绍了本医院生理数据采集系统中的一种被称为 "波形剪切 "的数据假象,该假象多年来一直未被注意到,限制了数据分析并延误了多个研究项目。我们旨在提高医疗信息学界对谨慎设置系统、持续验证数据以及临床医生和数据科学家密切合作重要性的认识。
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来源期刊
Journal of Medical Systems
Journal of Medical Systems 医学-卫生保健
CiteScore
11.60
自引率
1.90%
发文量
83
审稿时长
4.8 months
期刊介绍: Journal of Medical Systems provides a forum for the presentation and discussion of the increasingly extensive applications of new systems techniques and methods in hospital clinic and physician''s office administration; pathology radiology and pharmaceutical delivery systems; medical records storage and retrieval; and ancillary patient-support systems. The journal publishes informative articles essays and studies across the entire scale of medical systems from large hospital programs to novel small-scale medical services. Education is an integral part of this amalgamation of sciences and selected articles are published in this area. Since existing medical systems are constantly being modified to fit particular circumstances and to solve specific problems the journal includes a special section devoted to status reports on current installations.
期刊最新文献
Garbage In, Garbage Out? Negative Impact of Physiological Waveform Artifacts in a Hospital Clinical Data Warehouse. 21st Century Cures Act and Information Blocking: How Have Different Specialties Responded? Self-Supervised Learning for Near-Wild Cognitive Workload Estimation. Electronic Health Records Sharing Based on Consortium Blockchain. Large Language Models in Healthcare: An Urgent Call for Ongoing, Rigorous Validation.
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