Dr. Hirshon was supported by National Heart, Lung, and Blood Institute Grant 5K08HL073849 and Dr. Andersen was supported by National Institute of General Medical Science Grant T32GM075767.
Research Using Emergency Department–related Data Sets: Current Status and Future Directions
Version of Record online: 4 NOV 2009
© 2009 by the Society for Academic Emergency Medicine
Academic Emergency Medicine
Volume 16, Issue 11, pages 1103–1109, November 2009
How to Cite
Hirshon, J. M., Warner, M., Irvin, C. B., Niska, R. W., Andersen, D. A., Smith, G. S. and McCaig, L. F. (2009), Research Using Emergency Department–related Data Sets: Current Status and Future Directions. Academic Emergency Medicine, 16: 1103–1109. doi: 10.1111/j.1553-2712.2009.00554.x
This work is the output from a consensus workshop conducted during the May 2009 Academic Emergency Medicine consensus conference in New Orleans, LA: “Public Health In the ED: Surveillance, Screening, and Intervention.”
Consensus conference session participants included Srikar Adhikari, Sabina Braithwaite, Kerry Broderick, Chris Buresh, John Finnell, William G. Fernandez, Toni Gross, Michael Handrigan, Nancy Holson, Jeffrey Hom, Yu-Hsiang Hsieh, Chris Kahn, Nancy Kerr, Patrick Chow-In Ko, Damon Kuehl, Rika Maeshiro, Priya Mammen, Mary Pat McKay, Douglas McLachlan, Lawrence Melniker, Ward Myers, Toby Nagurney, David J. Osban, Michael Radeos, Jennifer Setlik, Matthew Scholer, Ashley Sullivan, Carolyn Synovitz, and Adrian Tyndall.
- Issue online: 4 NOV 2009
- Version of Record online: 4 NOV 2009
- Received June 20, 2009; revisions received June 27 and July 12, 2009; accepted July 12, 2009.
- emergency departments;
- data sets;
- health services
The 2009 Academic Emergency Medicine consensus conference focused on “Public Health in the ED: Surveillance, Screening and Intervention.” One conference breakout session discussed the significant research value of health-related data sets. This article represents the proceedings from that session, primarily focusing on emergency department (ED)-related data sets and includes examples of the use of a data set based on ED visits for research purposes. It discusses types of ED-related data sets available, highlights barriers to research use of ED-related data sets, and notes limitations of these data sets. The paper highlights future directions and challenges to using these important sources of data for research, including identification of five main needs related to enhancing the use of ED-related data sets. These are 1) electronic linkage of initial and follow-up ED visits and linkage of information about ED visits to other outcomes, including costs of care, while maintaining deidentification of the data; 2) timely data access with minimal barriers; 3) complete data collection for clinically relevant and/or historical data elements, such as the external cause-of-injury code; 4) easy access to data that can be parsed into smaller jurisdictions (such as states) for policy and/or research purposes, while maintaining confidentiality; and 5) linkages between health survey data and health claims data. ED-related data sets contain much data collected directly from health care facilities, individual patient records, and multiple other sources that have significant potential impact for studying and improving the health of individuals and the population.