Evidence map›Paper›PMID 12087120›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Does feedback improve the quality of computerized medical records in primary care?

Simon De Lusignan, Peter N Stephens, Naeema Adal, Azeem Majeed

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. The use and interpretation of quasi-experimental studies in medical informatics.Journal of the American Medical Informatics Association : JAMIA
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Improving the quality of EHR recording in primary care: a data quality feedback tool.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pneumonia following antipsychotic prescriptions in electronic health records: a patient safety concern?The British journal of general practice : the journal of the Royal College of General Practitioners · 2010
    Article
  14. Article
  15. The quality of record keeping in primary care: a comparison of computerised, paper and hybrid systems.The British journal of general practice : the journal of the Royal College of General Practitioners · 2003
    Article
  16. Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Simon De LusignanSt. George's Hospital Medical School, London, UK. slusignan@ghms.ac.uk
Peter N Stephens
Naeema Adal
Azeem Majeed

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe MediPlus database collects anonymized information from generalpractice computer systems in the United Kingdom, for research purposes. Data quality markers are collated and fed back to the participating general practitioners. The authors examined whether this feedback had a significant effect on data quality.

methodsThe data quality markers used since 1992 were examined. The authors determined whether the feedback of "useful" data quality markers led to a statistically significant improvement in these markers. Environmental influences on data quality from outside the scheme were controlled for by examination of the data quality scores of new entrants.

resultsThree quality markers improved significantly over the period of the study. These were the use of highly specific "lower-level" Read Codes (p=0.004) and the linkage of repeat prescriptions (p=0.03) and acute prescriptions (p=0.04) to diagnosis. Clinicians who fall below the target level for linkage of repeat prescriptions to diagnosis receive more detailed feedback; the effect of this was also statistically significant (p<0.01.)

conclusionsThe feedback of four of the ten markers had a significant effect on data quality. The effect of more detailed feedback appears to have had a greater effect. The lessons learned from this approach may help improve the quality of electronic medical records in the United Kingdom and elsewhere.

Indexed as

Primary Health CareHumansMedical Records Systems, ComputerizedQuality ControlResearchUnited Kingdom

Identifiers

PMID12087120
PMCPMC346626

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.