J Am Med Inform Assoc - Is the quality of data in an electronic medical record sufficient for assessing the quality of primary care?

Tópicos

{ measur(2081) correl(1212) valu(896) }
{ record(1888) medic(1808) patient(1693) }
{ assess(1506) score(1403) qualiti(1306) }
{ patient(2315) diseas(1263) diabet(1191) }
{ case(1353) use(1143) diagnosi(1136) }
{ treatment(1704) effect(941) patient(846) }
{ process(1125) use(805) approach(778) }
{ chang(1828) time(1643) increas(1301) }
{ blood(1257) pressur(1144) flow(957) }
{ high(1669) rate(1365) level(1280) }
{ can(774) often(719) complex(702) }
{ extract(1171) text(1153) clinic(932) }
{ data(3963) clinic(1234) research(1004) }
{ use(2086) technolog(871) perceiv(783) }
{ problem(2511) optim(1539) algorithm(950) }
{ search(2224) databas(1162) retriev(909) }
{ visual(1396) interact(850) tool(830) }
{ studi(1119) effect(1106) posit(819) }
{ structur(1116) can(940) graph(676) }
{ data(1714) softwar(1251) tool(1186) }
{ general(901) number(790) one(736) }
{ spatial(1525) area(1432) region(1030) }
{ health(3367) inform(1360) care(1135) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ data(2317) use(1299) case(1017) }
{ sampl(1606) size(1419) use(1276) }
{ time(1939) patient(1703) rate(768) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ implement(1333) system(1263) develop(1122) }
{ decis(3086) make(1611) patient(1517) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ clinic(1479) use(1117) guidelin(835) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ method(984) reconstruct(947) comput(926) }
{ featur(1941) imag(1645) propos(1176) }
{ howev(809) still(633) remain(590) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ patient(1821) servic(1111) care(1106) }
{ analysi(2126) use(1163) compon(1037) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ survey(1388) particip(1329) question(1065) }
{ estim(2440) model(1874) function(577) }
{ activ(1452) weight(1219) physic(1104) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVE: Quality indicators for the treatment of type 2 diabetes are often retrieved from a chronic disease registry (CDR). This study investigates the quality of recording in a general practitioner's (GP) electronic medical record (EMR) compared to a simple, web-based CDR.METHODS: The GPs entered data directly in the CDR and in their own EMR during the study period (2011). We extracted data from 58 general practices (8235 patients) with type 2 diabetes and compared the occurrence and value of seven process indicators and 12 outcome indicators in both systems. The CDR, specifically designed for monitoring type 2 diabetes and reporting to health insurers, was used as the reference standard. For process indicators we examined the presence or absence of recordings on the patient level in both systems, for outcome indicators we examined the number of compliant or non-compliant values of recordings present in both systems. The diagnostic OR (DOR) was calculated for all indicators.RESULTS: We found less concordance for process indicators than for outcome indicators. HbA1c testing was the process indicator with the highest DOR. Blood pressure measurement, urine albumin test, BMI recorded and eye assessment showed low DOR. For outcome indicators, the highest DOR was creatinine clearance <30 mL/min or mL/min/1.73 m(2) and the lowest DOR was systolic blood pressure <140 mm Hg.CONCLUSIONS: Clinical items are not always adequately recorded in an EMR for retrieving indicators, but there is good concordance for the values of these items. If the quality of recording improves, indicators can be reported from the EMR, which will reduce the workload of GPs and enable GPs to maintain a good patient overview.

Resumo Limpo

jectiv qualiti indic treatment type diabet often retriev chronic diseas registri cdr studi investig qualiti record general practition gp electron medic record emr compar simpl webbas cdrmethod gps enter data direct cdr emr studi period extract data general practic patient type diabet compar occurr valu seven process indic outcom indic system cdr specif design monitor type diabet report health insur use refer standard process indic examin presenc absenc record patient level system outcom indic examin number compliant noncompli valu record present system diagnost dor calcul indicatorsresult found less concord process indic outcom indic hbac test process indic highest dor blood pressur measur urin albumin test bmi record eye assess show low dor outcom indic highest dor creatinin clearanc mlmin mlmin m lowest dor systol blood pressur mm hgconclus clinic item alway adequ record emr retriev indic good concord valu item qualiti record improv indic can report emr will reduc workload gps enabl gps maintain good patient overview

Resumos Similares

AMIA Annu Symp Proc - Lexical concept distribution reflects clinical practice. ( 0,703362412426474 )
J Am Med Inform Assoc - Electronic health records improve clinical note quality. ( 0,688016048435468 )
J Clin Monit Comput - The importance of using the correct bounds on the Bland-Altman limits of agreement when multiple measurements are recorded per patient. ( 0,674205074312992 )
J Clin Monit Comput - Masseter muscle oxygen saturation is associated with central venous oxygen saturation in patients with severe sepsis. ( 0,662451551172157 )
J Am Med Inform Assoc - Meaningful measurement: developing a measurement system to improve blood pressure control in patients with chronic kidney disease. ( 0,65484980448467 )
J Med Syst - Computer-aided intelligent system for diagnosing pediatric asthma. ( 0,653758027156565 )
J Clin Monit Comput - The ability of the Vigileo-FloTrac system to measure cardiac output and track cardiac output changes during one-lung ventilation. ( 0,651004128977891 )
Int J Med Inform - The effects of an electronic medical record on the completeness of documentation in the anesthesia record. ( 0,647711998260313 )
J Clin Monit Comput - Validation of indirect calorimetry for measurement of energy expenditure in healthy volunteers undergoing pressure controlled non-invasive ventilation support. ( 0,645437643280378 )
J Med Syst - The meaningful use of EMR in Chinese hospitals: a case study on curbing antibiotic abuse. ( 0,639324952473139 )
AMIA Annu Symp Proc - Capture of osteoporosis and fracture information in an electronic medical record database from primary care. ( 0,638048235441946 )
J. Med. Internet Res. - Online dietary intake estimation: reproducibility and validity of the Food4Me food frequency questionnaire against a 4-day weighed food record. ( 0,635343412590309 )
J Clin Monit Comput - Comparison of SNAP? II and BIS Vista indices during normothermic cardiopulmonary bypass under isoflurane anesthesia. ( 0,630514684601607 )
BMC Med Inform Decis Mak - Influence of data quality on computed Dutch hospital quality indicators: a case study in colorectal cancer surgery. ( 0,623340563395322 )
AMIA Annu Symp Proc - Automatic computation of CHA2DS2-VASc score: information extraction from clinical texts for thromboembolism risk assessment. ( 0,623232981346416 )
Med Decis Making - Correlates of diagnostic accuracy in patients with nonspecific complaints. ( 0,622971548847362 )
Perspect Health Inf Manag - Projected impact of the ICD-10-CM/PCS conversion on longitudinal data and the Joint Commission Core Measures. ( 0,619604665445431 )
BMC Med Inform Decis Mak - Measuring agreement between decision support reminders: the cloud vs. the local expert. ( 0,618177546800248 )
J Am Med Inform Assoc - Automating the medication regimen complexity index. ( 0,617388168711004 )
BMC Med Inform Decis Mak - Clinical decision support improves quality of telephone triage documentation--an analysis of triage documentation before and after computerized clinical decision support. ( 0,613695987260506 )
J Am Med Inform Assoc - Correlating electronic health record concepts with healthcare process events. ( 0,609253694923367 )
J Clin Monit Comput - Comparison of ear and chest probes in transcutaneous carbon dioxide pressure measurements during general anesthesia in adults. ( 0,604010723722438 )
Int J Med Inform - Concept and implementation of a computer-based reminder system to increase completeness in clinical documentation. ( 0,603832048943076 )
Med Decis Making - Testing for differential item functioning within the EQ-5D. ( 0,603337939246494 )
Int J Med Inform - The perception of medical professionals and medical students on the usefulness of an emergency medical card and a continuity of care report in enhancing continuity of care. ( 0,601548584613162 )
AMIA Annu Symp Proc - You can lead a horse to water: physicians' responses to clinical reminders. ( 0,60084947289685 )
Methods Inf Med - Measuring inter-observer agreement in contour delineation of medical imaging in a dummy run using Fleiss' kappa. ( 0,600167658628168 )
J Clin Monit Comput - Reliability of the volatile agent consumption display in the Draeger Primus? anesthesia machine. ( 0,599147570039366 )
J Am Med Inform Assoc - HARVEST, a longitudinal patient record summarizer. ( 0,597855765023857 )
J Biomed Inform - Development of a clinician reputation metric to identify appropriate problem-medication pairs in a crowdsourced knowledge base. ( 0,597647020972711 )
J Am Med Inform Assoc - Ability of pharmacy clinical decision-support software to alert users about clinically important drug-drug interactions. ( 0,596279656567812 )
J Am Med Inform Assoc - Point-of-care clinical documentation: assessment of a bladder cancer informatics tool (eCancerCareBladder): a randomized controlled study of efficacy, efficiency and user friendliness compared with standard electronic medical records. ( 0,593006484744178 )
J Clin Monit Comput - Cardiac index measurements by transcutaneous Doppler ultrasound and transthoracic echocardiography in adult and pediatric emergency patients. ( 0,592849011970323 )
J Am Med Inform Assoc - Development and evaluation of an ensemble resource linking medications to their indications. ( 0,591947174272868 )
J Clin Monit Comput - Peripheral tissue oximetry: comparing three commercial near-infrared spectroscopy oximeters on the forearm. ( 0,589452831613502 )
Int J Med Inform - Description and comparison of documentation of nursing assessment between paper-based and electronic systems in Australian aged care homes. ( 0,589098777925481 )
Appl Clin Inform - An analysis of free-text alcohol use documentation in the electronic health record: early findings and implications. ( 0,585821097262154 )
Telemed J E Health - Tele-assistance Respiratory card: feasibility of self-reporting in patients with severe COPD. ( 0,583019137034497 )
J Am Med Inform Assoc - Use of electronic medical records differs by specialty and office settings. ( 0,582509249073585 )
J Am Med Inform Assoc - Clinical documentation: composition or synthesis? ( 0,582337761638659 )
Comput. Biol. Med. - Development and evaluation of an algorithm for computer analysis of maternal heart rate during labor. ( 0,580840614166861 )
Comput. Biol. Med. - Gait variability and stability measures: minimum number of strides and within-session reliability. ( 0,580392345315775 )
J Biomed Inform - Effects of time constraints on clinician-computer interaction: a study on information synthesis from EHR clinical notes. ( 0,577823471573846 )
J Clin Monit Comput - Evaluation of the estimated continuous cardiac output monitoring system in adults and children undergoing kidney transplant surgery: a pilot study. ( 0,577675409530591 )
J Am Med Inform Assoc - Electronic medical records and physician stress in primary care: results from the MEMO Study. ( 0,5714428602117 )
J Med Syst - Anesthesia report card - a customizable tool for performance improvement. ( 0,570864504037504 )
J Am Med Inform Assoc - Presence of key findings in the medical record prior to a documented high-risk diagnosis. ( 0,570106316056042 )
J Clin Monit Comput - Non-invasive measurement of cardiac output in obese children and adolescents: comparison of electrical cardiometry and transthoracic Doppler echocardiography. ( 0,569803465482321 )
Comput Math Methods Med - Long-term prediction of emergency department revenue and visitor volume using autoregressive integrated moving average model. ( 0,568719101730727 )
Appl Clin Inform - Rapid implementation of inpatient electronic physician documentation at an academic hospital. ( 0,568697258049646 )
Int J Med Inform - Structured electronic operative reporting: comparison with dictation in kidney cancer surgery. ( 0,567780999327065 )
AMIA Annu Symp Proc - Continuity of Care Document (CCD) Enables Delivery of Medication Histories to the Primary Care Clinician. ( 0,565587983436298 )
Comput Methods Programs Biomed - Comparison of documentation time between an electronic and a paper-based record system by optometrists at an eye hospital in south India: a time-motion study. ( 0,564434639409472 )
AMIA Annu Symp Proc - Validation and enhancement of a computable medication indication resource (MEDI) using a large practice-based dataset. ( 0,563737299987351 )
AMIA Annu Symp Proc - The physical attractiveness of electronic physician notes. ( 0,563434797696445 )
Comput. Biol. Med. - Approach for streamlining measurement of complex physiological phenotypes of upper airway collapsibility. ( 0,562103036367985 )
J Am Med Inform Assoc - Electronic medical record use in pediatric primary care. ( 0,561979643078621 )
BMC Med Inform Decis Mak - SciReader enables reading of medical content with instantaneous definitions. ( 0,561595399395361 )
AMIA Annu Symp Proc - Phenome based analysis as a means for discovering context dependent clinical reference ranges. ( 0,561123371239342 )
J Am Med Inform Assoc - Predicting biomedical document access as a function of past use. ( 0,560824276331461 )
J Med Syst - An assessment of patient safety in acupuncture process under EMR support. ( 0,560425518326764 )
J Am Med Inform Assoc - Self-reported fever and measured temperature in emergency department records used for syndromic surveillance. ( 0,557957250342913 )
Appl Clin Inform - Relationship between documentation method and quality of chronic disease visit notes. ( 0,557653721182665 )
Int J Med Inform - Separate may not be equal: a preliminary investigation of clinical correlates of electronic psychiatric record accessibility in academic medical centers. ( 0,556049528188304 )
Med Biol Eng Comput - Fluctuation analysis of respiratory impedance waveform in asthmatic patients: effect of airway obstruction. ( 0,553950964692785 )
J Am Med Inform Assoc - Data quality assessment in healthcare: a 365-day chart review of inpatients' health records at a Nigerian tertiary hospital. ( 0,553930465452697 )
Res Synth Methods - Practicalities of using a modified version of the Cochrane Collaboration risk of bias tool for randomised and non-randomised study designs applied in a health technology assessment setting. ( 0,553526085585496 )
AMIA Annu Symp Proc - Potential value of health information exchange for people with epilepsy: crossover patterns and missing clinical data. ( 0,552033587319089 )
J Clin Monit Comput - Validation of continuous and noninvasive hemoglobin monitoring by pulse CO-oximetry in Japanese surgical patients. ( 0,550998215425837 )
Health Informatics J - Clinical Document Architecture integration system to support patient referral and reply letters. ( 0,549488524168815 )
J Am Med Inform Assoc - A framework for assessing patient crossover and health information exchange value. ( 0,549275865836505 )
J Am Med Inform Assoc - Data from clinical notes: a perspective on the tension between structure and flexible documentation. ( 0,547942310603377 )
Perspect Health Inf Manag - Workflow and electronic health records in small medical practices. ( 0,546735723774535 )
Comput. Aided Surg. - Non-invasive quantification of lower limb mechanical alignment in flexion. ( 0,546465946438453 )
Appl Clin Inform - Determining primary care physician information needs to inform ambulatory visit note display. ( 0,546461511902015 )
AMIA Annu Symp Proc - Corpus-Based Problem Selection for EHR Note Summarization. ( 0,54610477171212 )
Comput. Biol. Med. - Informatics can identify systemic sclerosis (SSc) patients at risk for scleroderma renal crisis. ( 0,545783486093952 )
J Clin Monit Comput - Anaesthetic gas monitoring comparison between two side-stream monitors. ( 0,545619712433926 )
AMIA Annu Symp Proc - Comparing content coverage in medical curriculum to trainee-authored clinical notes. ( 0,545385276247099 )
Med Biol Eng Comput - Intra-protocol repeatability and inter-protocol agreement for the analysis of scapulo-humeral coordination. ( 0,540399139999418 )
Comput. Biol. Med. - Clinicians' evaluation of computer-assisted medication summarization of electronic medical records. ( 0,539225004414419 )
AMIA Annu Symp Proc - Analysis of medication and indication occurrences in clinical notes. ( 0,538354299896623 )
J Clin Monit Comput - The evaluation of a non-invasive respiratory volume monitor in surgical patients undergoing elective surgery with general anesthesia. ( 0,534662233599244 )
Comput. Biol. Med. - Inter- and intra-observer variability analysis of completely automated cIMT measurement software (AtheroEdge?) and its benchmarking against commercial ultrasound scanner and expert Readers. ( 0,531244255660297 )
Int J Comput Assist Radiol Surg - New method for internal anal sphincter measurements: feasibility study. ( 0,530887321242144 )
Med Decis Making - Predicting the EuroQol Group's EQ-5D index from CDC's Healthy Days in a US sample. ( 0,530848581744339 )
BMC Med Inform Decis Mak - Impact of a computerized system for evidence-based diabetes care on completeness of records: a before-after study. ( 0,530121942151796 )
Med Decis Making - Impact of Diabetes E-Consults on Outpatient Clinic Workflow. ( 0,52799633135165 )
J Med Syst - RBAC-Matrix-based EMR right management system to improve HIPAA compliance. ( 0,527784944529904 )
Artif Intell Med - Understanding the nature of information seeking behavior in critical care: implications for the design of health information technology. ( 0,527274605828033 )
J. Med. Internet Res. - Parent satisfaction with the electronic medical record in an academic pediatric rheumatology practice. ( 0,526121993120312 )
J Am Med Inform Assoc - Patient access to medical records and healthcare outcomes: a systematic review. ( 0,525972840141354 )
Comput Math Methods Med - Multicriteria optimization model for the study of the efficacy of skin antiaging therapy. ( 0,525540188049655 )
AMIA Annu Symp Proc - Information Requirements for Health Information Exchange Supported Communication between Emergency Departments and Poison Control Centers. ( 0,525257871323758 )
J Am Med Inform Assoc - Transforming consumer health informatics through a patient work framework: connecting patients to context. ( 0,524981617128788 )
J Med Syst - Automatic quantification of spinal curvature in scoliotic radiograph using image processing. ( 0,524749553154104 )
Comput Methods Programs Biomed - Improving reliability of live/dead cell counting through automated image mosaicing. ( 0,52388205816813 )
J Telemed Telecare - Use of telemedicine for the identification and treatment of sulfamethoxazole-induced methaemoglobinemia. ( 0,52384664577717 )
J Clin Monit Comput - Noninvasive continuous beat-to-beat radial artery pressure via TL-200 applanation tonometry. ( 0,523444737512907 )
J Am Med Inform Assoc - Effects of an online personal health record on medication accuracy and safety: a cluster-randomized trial. ( 0,522696849927246 )