Improving Clinical Practice and Education Using the Electronic Medical Record -Can We Incorporate New Medical Research into Clinical Practice Using the Clinical Data Repository

摘要

We investigated the potential for using aggregated medical records to tailor educational programs and incorporating new research into daily practice to improve clinical performance. In the past, nephrotic syndrome, a severe form of urinary protein loss had been described as a risk factor for venous thromboembolism. In May 2009, JAMA reported that even microalbuminuria or early mild kidney dysfunction is also a risk factor for thromboembolism. We used our existing clinical data repository to determine: 1. Did emergency department patients with thromboembolism have higher prevalence rates of microalbuminuria? 2. Can we use the data repository to aggregate historic clinical data to assist clinicians in evaluating pre-test clinical risk and improve decision support?