Data Usability Workgroup

Reduce the Impact of Duplicates

  • This topic has 22 replies, 1 voice, and was last updated 1 week, 1 day ago by Steamdrype.
Viewing 22 reply threads
  • Author
    • #33468 Reply
      Hera Ashraf

      When clinical data is exchanged between multiple systems duplicate information is a frequent occurrence. Commonly this is the result of receiving the same information from more than one external organization. Unidentified duplicate information takes clinician time to filter and reconcile and can make it harder to find the most up to date information about a patient.  

      Reply to this post with your answers to these questions:
      1. Where do you see the most significant problems with duplicate data — Problems, Meds, allergies or labs?  Other data types, e.g., Immunizations, social or other historical elements?
      2. Balancing reduction in duplicates with risk of information loss and patient safety concerns can be a challenge — would you prefer automation to remove specific duplicate data types altogether or collapsing them together and showing number of instances (e.g. Diabetes mellitus Type 2 (10 instances)?
      3. Do you see duplicate information as a universal problem or variable from one organization to another?
      4. Are there specific data types or scenarios in which safety concern is the highest when considering automated de-duplication?

    • #33687 Reply
      Andrea Pitkus, PhD, MLS(ASCP)CM

      A clear operational definition of what constitutes duplicate data is needed as there were various definitions on the calls. Where a down or upstream system eliminates clinical data, errors of omission can occur and patient harm may result. Regulatory requirements may impact actions too. There is not a one size fits all responses as it depends on several factors (the type of clinical data, etc.)

      How does a provider know a result/data element is truly a duplicate versus needed by another provider for a different reason?

    • #34591 Reply
      Riki Merrick

      As Andrea states we need a defintion of duplicates.
      If you mean the exact same result of a lab test for example (performed by 1 lab, but reported by 2 orgranizations – maybe the EHR to the patient and the lab to the patient, or the lab and EHR to another porvider in the care team) we need to have the same identifiers to be sure it is truely the same (and currently the results themselves don’t have identifiers, so you would need to use a common specimen id / accession number of the related sample as well as the performing lab and related dates etc to be able to identify it.
      One important factor in any attempt to de-duplicate is that you MUST have the assigning authority for all identifiers, else you will have no luck being able to use them.

    • #36071 Reply
      Andrea Pitkus

      Adding to what Riki posted….

      Time is another factor which varies by lab test/scenario. Some genetic tests may only be done one in a lifetime. So what time period is utilized for assessing.

      Also a hgb may be performed pre transfusion and another post transfusion and they may appear to be duplicate, but truly impact clinical decision making as to how much the transfusion raised the hgb level.

      For medications, does it depend on the same drug with different dosing, ways it’s dispenses, etc. (IV vs oral pill)? Again over which time frame? Is it tied to a chronic problem like Parkinson’s and will be needed over a lifetime or is it a short term treatment such as antibiotics for an infection?

      Hopefully more clinicians will jump in with more use cases/scenarios. I would urge extreme caution in deduplicating automatically as patient harm may result if the process is not clinically validated/implementable in all systems where data is utilized (up/down stream), etc.

    • #52540 Reply
    • #52542 Reply
    • #52554 Reply
    • #52557 Reply
    • #52695 Reply

      Обучение вождения в г Иркутск – сейчас очень легкий вариант получить права шофером группы В, однако, к большой жалость, вовсе не все курсов сумеют предоставить правда хорошую костяк именно для новых автомобилистов, также многие учеников перестали водить авто, совместно из полученными автомобильных прав. Известная школа START у г Иркутск автошкола в иркутске стоимость обучения превосходит проверенным подходом и уникальной системой преподавания неопытных водителей. Автошкола Старт специализируемся только на образование типа В, оказывая специально для наших студентов прекрасные условия курса: гибкий план обучения изучения правил также практики, безопасные автомобили из авто либо гибридная коробка передач, свободная полигон, механические кабины вождения у классах, маленькие группы, осуществимость обучения в формате записи также подобные привилегии, каковы предоставляют шанс качественно изучать теорию. Помимо такого автошкола START серьезно подходит относительно отбору инструкторов, каковы обучают не лишь ответственно кататься, плюс и правильно отвечать касательно тяжелых обстановке в дорогах. Звоните и получите большую скидку именно на курс через нашей автошколе.

    • #52945 Reply

      Ажурные прикрасы, которые покупатели носят на себе либо покупаем именно на подарок друзьям несут в себе огромное количество увлекательных утверждений, которые реально просто ознакомиться, если Вы нажмет по ссылке полезных статей об дорогих изделий виды плетения цепочек серебряных. Цифровой источник дорогих прикрас введет в курс дела покупателям из многими полезными навыками, совместно с поддержкой их покупатели имеют возможность неплохо разбираться касательно качестве ювелирных плюс серебристных изделий, к тому же драгоценных породах камней также сплавах. Сайт всякой проверенных новостей об драгоценностях регулярно прибавляет статьи, какие помогут пользователю правильно разбираться какие именно серьги гармонируют именно в образе, как же надо ухаживать за золотых украшения, также что же сейчас современно. Нажимайтек именно на сайт, смотрите затем отбирайте понравившиеся новости либо выставляйте ссылки в личные персональные акаунтов сетях, а ресурс будем систематически пополнять этот ассортимент публикаций ювелирных изделий.

    • #53865 Reply

      [url=]Интересная статья[/url] о дезинфекции помещений.
      Качественно и быстро проведут дезинфекцию от клопов, тараканов.

    • #54033 Reply

      Are you in.
      See the difference.
      Better safe than sorry is a piece of wisdom from Samuel Lover’s book, Rory O’More.
      George Washington is known for his wise sayings.
      Have you ever felt frustrated when other people didn’t meet your expectations.
      Oftentimes, it makes sense to delegate tasks.
      They’re easy to remember and pass down through generations because they’re concise.
      Then use it as a guideline to stay focused on your general theme.
      Let’s get started.
      Early to bed and early to rise makes a man healthy, wealthy, and wise.
      This quote originated from Thomas Howell in New Sonnets and Pretty Pamphlets.
      If you can do something, then you need to do it for the good of others.
      Yup, you guessed it.
      Yup, he was reminding Philadelphians that preventing fires is better than fighting them.
      It originated from Lady Mary Montgomerie Currie’s poem Tout vient a qui sait attendre.
      So my advice.

    • #54041 Reply

      Man is known by his friends – A.
      A swarm in May is worth a load of hay; a swarm in June is worth a silver spoon; but a swarm in July is not worth a fly.
      One half of the world does not know how the other half lives.
      Many a good tune played on an old fiddle – There’s.
      Englishman’s home is his castle – An.
      Practice makes perfect.
      One good turn deserves another Link to proverb.

    • #54042 Reply

      Don’t let the bastards grind you down Link to proverb.
      Early bird catches the worm – The.
      The end justifies the means.
      Pride comes before a fall Link to proverb.
      Put your best foot forward Link to proverb.
      Red sky at night shepherd’s delight; red sky in the morning, shepherd’s warning Link to proverb.
      Those who sleep with dogs will rise with fleas.

    • #54047 Reply

      Give a dog a bad name and hang him.
      You can’t hold with the hare and run with the hounds Link to proverb.
      Necessity is the mother of invention Link to proverb.
      Keep your friends close and your enemies closer.
      History repeats itself.
      Soft answer turneth away wrath – A.
      The end justifies the means.

    • #54379 Reply

      A darknet market is a kind of online marketplace that operates via darknets such as Tor or I2P. Full darknet market list on These markets give a platform for trade and buying both legal and illegal items.

    • #54388 Reply
    • #54411 Reply
    • #54501 Reply

      And since they’re universal truths about life, they help persuade your reader to accept your message.
      It reminds us to take precautionary measures, so we don’t end up with bad results.
      But Yoda isn’t having it.
      Life is too short to surround yourself with toxic people.
      Want a few more.
      They’re easy to remember and pass down through generations because they’re concise.
      Your stories can benefit from this method too.
      Let’s get started.
      Now compare that proverb to this famous aphorism.
      It’s better safe than sorry, right.
      Examples of Aphorism in Politics
      Picture of Benjamin Franklin and a caption that says “Aphorist Extraordinaire”
      It’s easier to do it yourself rather than try to explain it to someone else.
      Finally, All things come to those who wait is a good aphorism we’re all familiar with.
      For example.
      Practice what you preach.

    • #54531 Reply
    • #54643 Reply
    • #54696 Reply
    • #54816 Reply
Viewing 22 reply threads
Reply To: Reduce the Impact of Duplicates
Your information:

Skip to toolbar