학술논문

Quality assurance of integrative big data for medical research within a multihospital system
Document Type
article
Source
Journal of the Formosan Medical Association, Vol 121, Iss 9, Pp 1728-1738 (2022)
Subject
Big data
Electronic health record
Evidence based healthcare management
Validation study
Medicine (General)
R5-920
Language
English
ISSN
0929-6646
06927645
Abstract
Background: The need is growing to create medical big data based on the electronic health records collected from different hospitals. Errors for sure occur and how to correct them should be explored. Methods: Electronic health records of 9,197,817 patients and 53,081,148 visits, totaling about 500 million records for 2006–2016, were transmitted from eight hospitals into an integrated database. We randomly selected 10% of patients, accumulated the primary keys for their tabulated data, and compared the key numbers in the transmitted data with those of the raw data. Errors were identified based on statistical testing and clinical reasoning. Results: Data were recorded in 1573 tables. Among these, 58 (3.7%) had different key numbers, with the maximum of 16.34/1000. Statistical differences (P