Zusammenfassung
Das Gesundheitswesen hat in den letzten Jahrzehnten einen rasanten Digitalisierungsprozess durchlaufen, bei dem elektronische Gesundheitsakten (Electronic Health Records, EHR) und spezielle Verfahren wie elektronische Bildgebungssysteme die Grundlage für ein breites Spektrum von Ansätzen in der Medizin ermöglicht haben, darunter die Anwendung von Machine Learning (ML) und Präzisionsmedizin. In diesem Kontext ist das Health Data Management (HDM) zu einem essenziellen Bestandteil des Gesundheitssystems geworden. Die kombinierte Nutzung von Daten, nicht nur aus unterschiedlichen gängigen Quellen wie Krankenakten, Laborergebnissen und Bildgebungen, sondern auch von Mobilgeräten, leistet einen entscheidenden Beitrag, um hohe Qualitäts- und Sicherheitsstandards in der Patientenversorgung gewährleisten zu können.
Dieses Kapitel zeigt auf, welche Potenziale sich in verschiedenen klinischen Bereichen am Beispiel eines Universitätsklinikums durch HDM bieten. Dabei wird auf die besonderen Herausforderungen des HDM eingegangen, die sich durch die Integration neuer Datenquellen in bestehende Systeme ergeben. Welche Lösungen im Umgang mit diesen Herausforderungen gefunden werden, bestimmt im Wesentlichen, wie erfolgreich – gemessen an den erreichten Verbesserungen der Versorgungsqualität – HDM umgesetzt werden kann.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Althoff, T., Sosič, R., Hicks, J. L., King, A. C., Delp, S. L., & Leskovec, J. (2017). Large-scale physical activity data reveal worldwide activity inequality. Nature, 547(7663), 336–339.
Bentley, K. H., Zuromski, K. L., Fortgang, R. G., Madsen, E. M., Kessler, D., Lee, H., Nock, M. K., Reis, B. Y., Castro, V. M., & Smoller, J. W. (2022). Implementing machine learning models for suicide risk prediction in clinical practice: Focus group study with hospital providers. JMIR Formative Research, 6(3), e30946. https://doi.org/10.2196/30946
Black N. (2013). Patient reported outcome measures could help transform healthcare. BMJ (Clinical research ed.), 346, f167. https://doi.org/10.1136/bmj.f167
Braune, K., Lal, R. A., Petruželková, L., Scheiner, G., Winterdijk, P., Schmidt, S., Raimond, L., Hood, K. K., Riddell, M. C., Skinner, T. C., Raile, K., Hussain, S., & OPEN International Healthcare Professional Network and OPEN Legal Advisory Group. (2022). Open-source automated insulin delivery: International consensus statement and practical guidance for health-care professionals. The Lancet. Diabetes & Endocrinology, 10(1), 58–74. https://doi.org/10.1016/S2213-8587(21)00267-9
Cirillo, D., & Valencia, A. (2019). Big data analytics for personalized medicine. Current Opinion in Biotechnology, 58, 161–167. https://doi.org/10.1016/j.copbio.2019.03.004
Cleverly, W. O., & Cameron, A. E. (2007). Essentials of health care finance (6. Aufl., S. 123–142). Jones & Barlett Publishers.
Eslami, S., de Keizer, N. F., Dongelmans, D. A., de Jonge, E., Schultz, M. J., & Abu-Hanna, A. (2012). Effects of two different levels of computerized decision support on blood glucose regulation in critically ill patients. International Journal of Medical Informatics, 81(1), 53–60. https://doi.org/10.1016/j.ijmedinf.2011.10.004
Geraci, A. (1991). IEEE standard computer dictionary: Compilation of IEEE standard computer glossaries. IEEE Press.
Haggerty, E. (2018). Healthcare and digital transformation. Network Security, 8, 7–11. https://doi.org/10.1016/S1353-4858(17)30081-8
Institute of Medicine (US) Committee on Quality of Health Care in America (2000). In L. T. Kohn, J. M. Corrigan, & M. S. Donaldson (Hrsg.), To err is human: Building a safer health system. National Academies Press (US).
Kongstvedt, P. R. (2013). Essentials of managed health care (6. Aufl., S. 243–254, 482-496). Jones & Barlett Learning.
Ku, J. P., & Sim, I. (2021). Mobile Health: Making the leap to research and clinics. NPJ Digital Medicine, 4(1), 83.
Kwok, R., Dinh, M., Dinh, D., & Chu, M. (2009). Improving adherence to asthma clinical guidelines and discharge documentation from emergency departments: implementation of a dynamic and integrated electronic decision support system. Emergency medicine Australasia. EMA, 21(1), 31–37. https://doi.org/10.1111/j.1742-6723.2008.01149.x
Lehne, M., Sass, J., Essenwanger, A., Schepers, J., & Thun, S. (2019). Why digital medicine depends on interoperability. NPJ digital medicine, 2, 79. https://doi.org/10.1038/s41746-019-0158-1
Makri, A. (2019). Bridging the digital divide in health care. The Lancet Digital Health, 1(5), e204–e205.
Murdoch, T. B., & Detsky, A. S. (2013). The inevitable application of big data to health care. JAMA, 309(13), 1351–1352. https://doi.org/10.1001/jama.2013.393
Näher, A. F., Vorisek, C. N., Klopfenstein, S. A., Lehne, M., Thun, S., Alsalamah, S., & Grabenhenrich, L. (2023). Secondary data for global health digitalisation. The Lancet Digital Health, 5(2), e93–e101.
O'Donnell, S., Lewis, D., Marchante Fernández, M., Wäldchen, M., Cleal, B., Skinner, T., Raile, K., Tappe, A., Ubben, T., Willaing, I., Hauck, B., Wolf, S., & Braune, K. (2019). Evidence on user-led innovation in diabetes technology (The OPEN Project): Protocol for a mixed methods study. JMIR Research Protocols, 8(11), e15368. https://doi.org/10.2196/15368
Owusu-Obeng, A., Weitzel, K. W., Hatton, R. C., Staley, B. J., Ashton, J., Cooper-Dehoff, R. M., & Johnson, J. A. (2014). Emerging roles for pharmacists in clinical implementation of pharmacogenomics. Pharmacotherapy, 34(10), 1102–1112. https://doi.org/10.1002/phar.1481
Perez, M. V., Mahaffey, K. W., Hedlin, H., Rumsfeld, J. S., Garcia, A., Ferris, T., & Turakhia, M. P. (2019). Large-scale assessment of a smartwatch to identify atrial fibrillation. New England Journal of Medicine, 381(20), 1909–1917.
Poon, E. G., Keohane, C. A., Yoon, C. S., Ditmore, M., Bane, A., Levtzion-Korach, O., Moniz, T., Rothschild, J. M., Kachalia, A. B., Hayes, J., Churchill, W. W., Lipsitz, S., Whittemore, A. D., Bates, D. W., & Gandhi, T. K. (2010). Effect of bar-code technology on the safety of medication administration. The New England Journal of Medicine, 362(18), 1698–1707. https://doi.org/10.1056/NEJMsa0907115
Reis, B. Y., Kohane, I. S., & Mandl, K. D. (2009). Longitudinal histories as predictors of future diagnoses of domestic abuse: Modelling study. BMJ (Clinical Research Ed.), 339, b3677. https://doi.org/10.1136/bmj.b3677
Salem, H. A., Caddeo, G., McFarlane, J., Patel, K., Cochrane, L., Soria, D., Henley, M., & Lund, J. (2018). A multicentre integration of a computer-led follow-up of prostate cancer is valid and safe. BJU International, 122(3), 418–426. https://doi.org/10.1111/bju.14157
Šendelj, R. (2020). Information technology and information management in healthcare. Studies in Health Technology And Informatics, 274, 139–158. https://doi.org/10.3233/SHTI200674
Smuck, M., Odonkor, C. A., Wilt, J. K., Schmidt, N., & Swiernik, M. A. (2021). The emerging clinical role of wearables: Factors for successful implementation in healthcare. NPJ Digital Medicine, 4(1), 45.
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for success. NPJ Digital Medicine, 3, 17. https://doi.org/10.1038/s41746-020-0221-y
van Staalduinen, D. J., van den Bekerom, P., Groeneveld, S., Kidanemariam, M., Stiggelbout, A. M., & van den Akker-van Marle, M. E. (2022). The implementation of value-based healthcare: A scoping review. BMC Health Services Research, 22(1), 270. https://doi.org/10.1186/s12913-022-07489-2
Vasudevan, S., Saha, A., Tarver, M. E., & Patel, B. (2022). Digital biomarkers: Convergence of digital health technologies and biomarkers. NPJ Digital Medicine, 5(1), 36.
Vicente-Saez, R., & Martinez-Fuentes, C. (2018). Open Science now: A systematic literature review for an integrated definition. Journal of Business Research 88, 428–436. https://doi.org/10.1016/j.jbusres.2017.12.043
Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2021). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social & Administrative Pharmacy: RSAP, 17(5), 832–841. https://doi.org/10.1016/j.sapharm.2020.08.001
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2024 Der/die Autor(en), exklusiv lizenziert an Springer Fachmedien Wiesbaden GmbH, ein Teil von Springer Nature
About this chapter
Cite this chapter
Salgado-Baez, E., Näher, AF., Friedrich, M., Kremser, G., Braune, K., Balzer, F. (2024). Health Data Management im Krankenhaus umsetzen. In: Henke, V., Hülsken, G., Schneider, H., Varghese, J. (eds) Health Data Management. Springer Gabler, Wiesbaden. https://doi.org/10.1007/978-3-658-43236-2_34
Download citation
DOI: https://doi.org/10.1007/978-3-658-43236-2_34
Published:
Publisher Name: Springer Gabler, Wiesbaden
Print ISBN: 978-3-658-43235-5
Online ISBN: 978-3-658-43236-2
eBook Packages: Business and Economics (German Language)