Data Elements for Emergency Department Systems, Release 1.0 (DEEDS): A Summary Report☆,☆☆,★,★★,♢
Section snippets
Development of deeds, Release 1.0
The impetus for developing DEEDS, Release 1.0 was a 1994 national conference on the status of emergency medicine sponsored by the Josiah Macy, Jr Foundation.2 Numerous Macy conference participants acknowledged that shortcomings in ED records limit our capacity to answer many fundamental clinical, epidemiologic, and health service utilization questions about ED patients. As a result, participants representing the major emergency medicine and nursing professional associations expressed a keen
Purpose and Scope
DEEDS, Release 1.0 is intended for voluntary use by individuals and organizations responsible for maintaining or improving record systems in 24-hour, hospital-based EDs. DEEDS, Release 1.0 is not a set of mandates, but rather it is designed to provide uniform specifications for data elements that decisionmakers may choose to retain, revise, or add to their ED record systems. If the recommended data elements are uniformly recorded and data are made available to numerous legitimate users with
Contents
The 156 data elements in DEEDS, Release 1.0 are organized into eight sections and numbered sequentially within each section. The definition of each data element is presented in the Table.
Next Steps
The initial release of DEEDS is intended to serve as a starting point. Many data element definitions and coding specifications are new, and field testing is necessary to evaluate them. Systematic field studies are needed to gauge the usefulness of DEEDS, Release 1.0 for direct patient care and a variety of secondary purposes, to identify optimal methods of data collection, and to specify the resources required for implementation. Prospective users of DEEDS, Release 1.0 may contact Daniel A.
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Cited by (35)
Intra-rater/inter-rater reliability of the air transport minimum data set
2007, Air Medical JournalThe Future of Emergency Medicine Public Health Research
2006, Emergency Medicine Clinics of North AmericaCitation Excerpt :Advances in information technology are likely to enable automatic reporting of a variety of health problems from ED electronic health record system to public health agencies. These efforts will require careful attention to the quality of ED data and safeguards for privacy and confidentiality [37,41]. Historically, in most Western societies, advances in antimicrobials and vaccines and improvements in sanitation have shifted much of the burden of disease morbidity and mortality from infections to injuries and chronic diseases [42].
Approaches to Patient Health Information Exchange and Their Impact on Emergency Medicine
2006, Annals of Emergency MedicineCitation Excerpt :For example, each institution may have its own scheme for representing medications, laboratory tests, radiology tests, and cardiology studies. Standards are necessary for messaging and data representation, and their relevance to ED information systems and health information exchange has been discussed previously in the emergency medicine literature.21-24 The absence of standards means that regional health information organizations need to do extensive custom work to match the data elements from each of the participating institutions.
Language validation of the air transport minimum data set: Time-related terms
2003, Air Medical JournalSyndromic surveillance for bioterrorism following the attacks on the World Trade Center - New York City, 2001
2003, Annals of Emergency MedicineCitation Excerpt :Currently, there is little consistency between hospitals in how data are collected. Efforts are underway to create standards for data collection that will make it easier to use this information.7 Emergency medical services data are another potential source of real-time information.
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From the National Center for Injury Prevention and Control (NCIPC), Centers for Disease Control and Prevention (CDC), which is solely responsible for the recommendations in DEEDS, Release 1.0. Each author represents a professional association or federal agency on the DEEDS Writing Committee, but these affiliations do not constitute organizational endorsement of DEEDS, Release 1.0.
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This article is being copublished by Academic Emergency Medicine, Annals of Emergency Medicine, and Journal of Emergency Nursing.
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Reprint no. 47/1/86562
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Address for reprints: Daniel A Pollock, MD, 4770 Buford Highway, NE, Mailstop F41, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, 770-488-4031, Fax 770-488-4338, E-mail [email protected], DEEDS, Release 1.0 in its entirety is available from the CDC's NCIPC in hard copy form or can be found at the NCIPC Web site: www.cdc.gov/ncipc/pub-res/deedspage.htm