New Electronic Medical Records Findings Reported from Research Institute (Using Computer-Extracted Data from Electronic Health Records to Measure the Quality of Adolescent Well-Care)
By a News Reporter-Staff News Editor at Clinical Trials Week -- A new study on Electronic Medical Records is now available. According to news reporting out of Columbus, Ohio, by NewsRx editors, research stated, "To determine whether quality measures based on computer-extracted EHR data can reproduce findings based on data manually extracted by reviewers. We studied 12 measures of care indicated for adolescent well-care visits for 597 patients in three pediatric health systems. Observational study. Data Collection/Extraction Methods."
Our news journalists obtained a quote from the research from Research Institute, "Manual reviewers collected quality data from the EHR. Site personnel programmed their EHR systems to extract the same data from structured fields in the EHR according to national health IT standards. Overall performance measured via computer-extracted data was 21.9 percent, compared with 53.2 percent for manual data. Agreement measures were high for immunizations. Otherwise, agreement between computer extraction and manual review was modest (Kappa = 0.36) because computer-extracted data frequently missed care events (sensitivity = 39.5 percent). Measure validity varied by health care domain and setting. A limitation of our findings is that we studied only three domains and three sites. The accuracy of computer-extracted EHR quality reporting depends on the use of structured data fields, with the highest agreement found for measures and in the setting that had the greatest concentration of structured fields."
According to the news editors, the research concluded: "We need to improve documentation of care, data extraction, and adaptation of EHR systems to practice workflow."
For more information on this research see: Using Computer-Extracted Data from Electronic Health Records to Measure the Quality of Adolescent Well-Care. Health Services Research, 2014;49(4):1226-1248. Health Services Research can be contacted at: Wiley-Blackwell, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - www.wiley.com/; Health Services Research - onlinelibrary.wiley.com/journal/10.1111/(ISSN)1475-6773)
Our news journalists report that additional information may be obtained by contacting W. Gardner, Nationwide Childrens Hosp, Center Innovat Pediat Practice, Res Inst, Columbus, OH, United States. Additional authors for this research include S. Morton, S.C. Byron, A. Tinoco, B.D. Canan, K. Leonhart, V. Kong and S.H. Scholle (see also Electronic Medical Records).
Keywords for this news article include: Columbus, Ohio, United States, North and Central America, Computers, Electronic Medical Records
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