Electronic health record data are a rich resource and can be utilized to answer a wealth of research questions. It is important when using electronic health record data in clinical trials that systems be put in place and vetted prior to enrollment to ensure data elements can be collected consistently across all health care systems. It is often overlooked how something conceptualized on paper (e.g. use of the electronic health record in a study) can be difficult to implement in practice. This article discusses some of the challenges in using electronic health records in the conduct of the STRIDE (Strategies to Reduce Injuries and Develop Confidence in Elders) trial, how we handled those challenges, and the lessons we learned for the conduct of future trials looking to employ the electronic health record.

中文翻译：

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从筛查到使用电子健康记录确定主要结果：STRIDE 试验中的挑战

电子健康记录数据是一种丰富的资源，可用于回答大量的研究问题。在临床试验中使用电子健康记录数据时，重要的是要在登记前建立并审查系统，以确保可以在所有医疗保健系统中一致地收集数据元素。人们常常忽视纸上概念化的东西（例如在研究中使用电子健康记录）在实践中是如何难以实施的。本文讨论了在进行 STRIDE（减少老年人伤害和培养对老年人的信心的策略）试验中使用电子健康记录的一些挑战，我们如何应对这些挑战，以及我们为未来试验的进行吸取的教训使用电子健康档案。