Measuring data reliability for preventive services in electronic medical records.

BMC Health Services Research
Michelle GreiverRahim Moineddin

Abstract

Improvements in the quality of health care services are often measured using data present in medical records. Electronic Medical Records (EMRs) contain potentially valuable new sources of health data. However, data quality in EMRs may not be optimal and should be assessed. Data reliability (are the same data elements being measured over time?) is a prerequisite for data validity (are the data accurate?). Our objective was to measure the reliability of data for preventive services in primary care EMRs during the transition to EMR. Our data sources were randomly selected eligible patients' medical records and data obtained from provincial administrative datasets. Eighteen community-based family physicians in Toronto, Ontario that implemented EMRs starting in 2006 participated in this study. We measured the proportion of patients eligible for a service (Pap smear, screening mammogram or influenza vaccination) that received the service. We compared the change in rates of selected preventive services calculated from the medical record audits with the change in administrative datasets. In the first year of EMR use (2006) services decreased by 8.7% more (95% CI -11.0%- - 6.4%, p < 0.0001) when measured through medical record audits as...Continue Reading

References

Aug 6, 1998·Health Affairs·L N Newcomer
Sep 28, 1998·JAMA : the Journal of the American Medical Association·M R Chassin, R W Galvin
May 20, 1999·Journal of the American Medical Informatics Association : JAMIA·P C TangS M Gorden
Feb 11, 2000·Archives of Internal Medicine·E A BalasG D Brown
Oct 12, 2000·JAMA : the Journal of the American Medical Association·P G SzilagyiL E Rodewald
May 7, 2002·Annals of Internal Medicine·Erin G StonePaul G Shekelle
Jan 22, 2003·JAMA : the Journal of the American Medical Association·Lawrence CasalinoMargaret C Wang
May 17, 2003·BMJ : British Medical Journal·Krish ThiruFrank Sullivan
Oct 7, 2003·Journal of the American Medical Informatics Association : JAMIA·Mark PorcheretUNKNOWN North Staffordshire General Practice Research Network
Mar 10, 2005·JAMA : the Journal of the American Medical Association·Amit X GargR Brian Haynes
Sep 28, 2005·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
Mar 17, 2006·The New England Journal of Medicine·Steven M AschElizabeth A McGlynn
Jul 27, 2006·Family Practice·H J BrouwerH C Weert
Jan 30, 2007·The New England Journal of Medicine·Peter K LindenauerDale W Bratzler
Oct 17, 2007·Annals of Internal Medicine·Richard J Baron
Nov 17, 2007·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Thomas J CraigBarbara B Fleming
Aug 13, 2008·Family Practice·Azeem MajeedAziz Sheikh
Mar 13, 2009·Medical Care Research and Review : MCRR·Bonnie B DeanRobert J Nordyke
May 27, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Richard H GlazierLyn M Sibley
Jun 2, 2009·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Carol P RothElizabeth A McGlynn
Jul 10, 2009·Journal of the American Board of Family Medicine : JABFM·Richard BirtwhistleClaudia Lagacé
Dec 17, 2009·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Andrea S GershonTeresa To
Feb 13, 2010·Medical Care Research and Review : MCRR·Kitty S ChanJonathan P Weiner

❮ Previous
Next ❯

Citations

Feb 11, 2014·Journal of the American Medical Informatics Association : JAMIA·John HeintzmanJennifer E DeVoe
Aug 3, 2013·Journal of Clinical Pharmacology·Li AnSrinivas Denduluri
May 8, 2015·BMC Public Health·Magdalena Rosell-MurphyBonaventura Bolíbar
Jul 16, 2014·Methods : a Companion to Methods in Enzymology·Joanna F DipnallJulie A Pasco
Jan 21, 2015·American Journal of Preventive Medicine·Tracy L FloodLawrence P Hanrahan
Jun 9, 2016·Journal of the American Medical Informatics Association : JAMIA·Sjoukje van der BijRobert A Verheij
Aug 22, 2015·Journal of Diabetes Science and Technology·William Corser, Sha Yuan
Jul 23, 2019·Developmental Medicine and Child Neurology·Renée SpeyerSarah Wilkes-Gillan
Nov 1, 2017·BMC Medical Informatics and Decision Making·Sophie E HogeveenJohn P Hirdes
Aug 15, 2019·Systematic Reviews·Jia Loon ChongDavid Bruce Matchar
Feb 14, 2019·BMC Medical Informatics and Decision Making·Amanda L TerryAmardeep Thind
May 11, 2021·Australian and New Zealand Journal of Public Health·Natasha NobleChristine Paul
Aug 23, 2021·Chinese Journal of Traumatology = Zhonghua Chuang Shang Za Zhi·Farkhondeh AsadiSohrab Almasi

❮ Previous
Next ❯

Software Mentioned

Epi
SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.