What is Clinical Data Abstraction?
When somebody is admitted to a hospital or even when they see a doctor, a patient chart is created. This chart includes most of the patient’s basic information, but also of what ails the patient and various other pieces of information that is important to treat the person being seen.
Clinical data abstraction is taking discrete information and transcribing it into relevant fields for the patient’s treatment team to see. Not every person on the patient’s treatment team should nor needs to see all the information that goes into the patient’s chart. It also condenses information into a much more readable form.
Why is Clinical Data Abstraction Needed?
Data abstraction allows the essential information of a patient’s chart or record to be stored in individual discrete fields. Performing data abstraction also allows for information to be digitized saving on storage space and time referring to the patient’s information in real-time. This also saves the nurses and doctors time from having to refer to a paper chart that may or may not be legible.
With a patient’s information being abstracted into a digitized system, there is a better workflow of treatment for the patient. There is less time between orders such as testing, medication, and needing more information from the treatment team or the patient themselves.
Data abstraction is a positive movement for those in the clinical field. It saves time, and in turn, it saves many clinical institutions money as well.
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