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Out of many, one: integrating data in the paediatric cardiovascular environment

Published online by Cambridge University Press:  29 September 2016

David J. Bradley*
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Danny T. Y. Wu
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Caren S. Goldberg
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Gerald S. Serwer
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Ray E. Lowery
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Janet E. Donohue
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Jennifer C. Hirsch-Romano
Affiliation:
Department of Cardiac Surgery, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
Kai Zheng
Affiliation:
Department of Informatics, Donald Bren School of Information and Computer Sciences, University of California, Irvine, California, United States of America
Sara K. Pasquali
Affiliation:
Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, University of Michigan Medical School, Ann Arbor, Michigan, United States of America
*
Correspondence to: D. J. Bradley, MD, University of Michigan Congenital Heart Center, C. S. Mott Children’s Hospital, Floor 11, Room 715Z, 1540 East Medical Drive, Ann Arbor, MI 48109, United States of America. Tel: +1 734 936 7418; Fax: +1 734 936 9470; E-mail: [email protected]

Abstract

Large volumes of data and multiple computing platforms are now universal components of paediatric cardiovascular medicine, but are in a constant state of evolution. Often, multiple sets of related data reside in disconnected “silos”, resulting in clinical, administrative, and research activities that may be duplicative, inefficient, and at times inaccurate. Comprehensive and integrated data solutions are needed to facilitate these activities across congenital heart centres. We describe methodology, key considerations, successful use cases, and lessons learnt in developing an integrated data platform across our congenital heart centre.

Type
Original Articles
Copyright
© Cambridge University Press 2016 

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References

1. Franklin, RCG, Jacobs, JP, Krogmann, ON, et al. Nomenclature for congenital and paediatric cardiac disease: historical perspectives and the International Pediatric and Congenital Cardiac Code. Cardiol Young 2008; 18 (Suppl 2): 7080.Google Scholar
2. Chen, RS, Nadkarni, P, Marenco, L, Levin, F, Erdos, J, Miller, PL. Exploring performance issues for a clinical database organized using an entity-attribute-value representation. J Am Med Inform Assoc 2000; 7: 475487.Google Scholar
3. Anderson, HV, Weintraub, WS, Radford, MJ, et al. Standardized cardiovascular data for clinical research , registries, and patient care. J Am Med Inform Assoc 2000; 7: 475487.Google Scholar
4. Jacobs, JP, O’Brien, SM, Pasquali, SK, et al. Variation in outcomes for risk-stratified pediatric cardiac surgical operations: an analysis of the STS Congenital Heart Surgery Database. Ann Thorac Surg 2012; 94: 564571.Google Scholar
5. Pasquali, SK, Jacobs, JP, Farber, G, et al. Report of the National Heart, Lung, and Blood Institute Working Group: an integrated network for congenital heart disease research. Circulation 2016; 133: 14101418.Google Scholar
6. Weng, C, Appelbaum, P, Hripcsak, G, et al. Using EHRs to integrate research with patient care: promises and challenges. J Am Med Inform Assoc 2012; 19: 684687.Google Scholar
7. Pasquali, SK, Peterson, ED, Jacobs, JP, et al. Differential case ascertainment in clinical registry versus administrative data and impact on outcomes assessment for pediatric cardiac operations. Ann Thorac Surg 2013; 95: 197203.Google Scholar
8. Schumacher, KR, Stringer, KA, Donohue, JE, et al. Social media methods for studying rare diseases. Pediatrics 2014; 133: 13451353.Google Scholar
9. Sullivan, BA, Fairchild, KD. Predictive monitoring for sepsis and necrotizing enterocolitis to prevent shock. Semin Fetal Neonatal Med 2015; 20: 255261.Google Scholar