开发 PRISM:衡量癌症中心数字研究成熟度的实用机构调查和基准标记工具

IF 2.1 2区 医学 Q4 MEDICAL INFORMATICS Applied Clinical Informatics Pub Date : 2024-09-11 DOI:10.1055/s-0044-1788331
Carlos Berenguer Albiñana, Matteo Pallocca, Hayley Fenton, Will Sopwith, Charlie Van Eden, Olof Akre, Annika Auranen, François Bocquet, Marina Borges, Emiliano Calvo, John Corkett, Serena Di Cosimo, Nicola Gentili, Julien Guérin, Sissel Jor, Tomas Kazda, Alenka Kolar, Tim Kuschel, Maria Julia Lostes, Chiara Paratore, Paolo Pedrazzoli, Marko Petrovic, Jarno Raid, Miriam Roche, Christoph Schatz, Joelle Thonnard, Giovanni Tonon, Alberto Traverso, Andrea Wolf, Ahmed H. Zedan, Piers Mahon
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引用次数: 0

摘要

背景 多中心精准肿瘤学真实世界证据需要医院进行大量的长期投资,以准备数据,并与通用的临床研究流程和医学定义保持一致。我们的团队开发了一个自我评估框架,以支持医院和医院网络衡量其数字化成熟度,并更好地规划和协调这些投资。根据这一框架,我们开发了癌症结果 PRISM:PRISM for Cancer Outcomes: PRagmatic Institutional Survey and benchMarking.目标 首要目标是将 PRISM 开发为肿瘤医院和研究网络自我评估数字化成熟度的工具;次要目标是创建一个由超过 25 家使用该工具的医院组成的初始基准队列,作为未来开发的输入。方法 PRISM 是一项包含 25 个问题的半定量自我评估调查,是根据肿瘤学真实世界研究交付方面的专家知识反复开发而成的。它涵盖四个数字成熟度维度:(1) 精确肿瘤学,(2) 临床数字数据,(3) 常规结果,以及 (4) 信息管理和交付。它们反映了常规电子健康记录中的四种主要数据类型和精准肿瘤学研究的关键推动因素。结果 在对来自 19 个欧洲国家的 26 家医院进行试点期间,发现 PRISM 易于使用,其半定量问题可被各种医院理解。初始基准队列的结果与内部观点非常吻合。我们发现在数字化成熟度方面存在明显的统计学差异,其中精准肿瘤学是最成熟的维度,而信息管理和交付则是最不成熟的维度。结论 PRISM 是一种轻足迹基准工具,用于支持大规模真实世界研究网络的规划。它可用于:(i) 帮助单个医院确定最需要投资和改进的领域;(ii) 帮助医院网络确定最佳实践和专业知识的来源;(iii) 帮助研究网络规划研究。通过进一步测试,政策制定者可以利用 PRISM 更好地规划围绕癌症任务和欧洲数字健康空间的数字投资。
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Developing PRISM: A Pragmatic Institutional Survey and Bench Marking Tool to Measure Digital Research Maturity of Cancer Centers

Background Multicenter precision oncology real-world evidence requires a substantial long-term investment by hospitals to prepare their data and align on common Clinical Research processes and medical definitions. Our team has developed a self-assessment framework to support hospitals and hospital networks to measure their digital maturity and better plan and coordinate those investments. From that framework, we developed PRISM for Cancer Outcomes: PRagmatic Institutional Survey and benchMarking.

Objectives The primary objective was to develop PRISM as a tool for self-assessment of digital maturity in oncology hospitals and research networks; a secondary objective was to create an initial benchmarking cohort of >25 hospitals using the tool as input for future development.

Methods PRISM is a 25-question semiquantitative self-assessment survey developed iteratively from expert knowledge in oncology real-world study delivery. It covers four digital maturity dimensions: (1) Precision oncology, (2) Clinical digital data, (3) Routine outcomes, and (4) Information governance and delivery. These reflect the four main data types and critical enablers for precision oncology research from routine electronic health records.

Results During piloting with 26 hospitals from 19 European countries, PRISM was found to be easy to use and its semiquantitative questions to be understood in a wide diversity of hospitals. Results within the initial benchmarking cohort aligned well with internal perspectives. We found statistically significant differences in digital maturity, with Precision oncology being the most mature dimension, and Information governance and delivery the least mature.

Conclusion PRISM is a light footprint benchmarking tool to support the planning of large-scale real-world research networks. It can be used to (i) help an individual hospital identify areas most in need of investment and improvement, (ii) help a network of hospitals identify sources of best practice and expertise, and (iii) help research networks plan research. With further testing, policymakers could use PRISM to better plan digital investments around the Cancer Mission and European Digital Health Space.

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来源期刊
Applied Clinical Informatics
Applied Clinical Informatics MEDICAL INFORMATICS-
CiteScore
4.60
自引率
24.10%
发文量
132
期刊介绍: ACI is the third Schattauer journal dealing with biomedical and health informatics. It perfectly complements our other journals Öffnet internen Link im aktuellen FensterMethods of Information in Medicine and the Öffnet internen Link im aktuellen FensterYearbook of Medical Informatics. The Yearbook of Medical Informatics being the “Milestone” or state-of-the-art journal and Methods of Information in Medicine being the “Science and Research” journal of IMIA, ACI intends to be the “Practical” journal of IMIA.
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