Evidence map›Paper›PMID 14527973›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA

Data quality of general practice electronic health records: the impact of a program of assessments, feedback, and training.

Mark Porcheret, Rhian Hughes, Dai Evans, Kelvin Jordan, Tracy Whitehurst, Helen Ogden, Peter Croft, North Staffordshire General Practice Research Network

Abstract readEvaluation Study
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 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
–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

76 citing papers in PubMed.

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  15. Effect of weather on GP home visits: a cross-sectional study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019
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16 more citing papers are in PubMed but not listed here.

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

8 authors.

Mark PorcheretPrimary Care Sciences Research Centre, Keele University, UK. m.porcheret@keele.ac.uk
Rhian Hughes
Dai Evans
Kelvin Jordan
Tracy Whitehurst
Helen Ogden
Peter Croft
North Staffordshire General Practice Research Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to investigate the impact of a program of repeated assessments, feedback, and training on the quality of coded clinical data in general practice.

designA prospective uncontrolled intervention study was conducted in a general practice research network. MEASUREMENTS: Percentage of recorded consultations with a coded problem title and percentage of patients receiving a specific drug (e.g., tamoxifen) who had the relevant morbidity code (e.g., breast cancer) were calculated. Annual period prevalence of 12 selected morbidities was compared with parallel data derived from the fourth National Study of Morbidity Statistics from General Practice (MSGP4).

resultsThe first two measures showed variation between practices at baseline, but on repeat assessments all practices improved or maintained their levels of coding. The period prevalence figures also were variable, but over time rates increased to levels comparable with, or above, MSGP4 rates. Practices were able to provide time and resources for feedback and training sessions.

conclusionA program of repeated assessments, feedback, and training appears to improve data quality in a range of practices. The program is likely to be generalizable to other practices but needs a trained support team to implement it that has implications for cost and resources.

Indexed as

Computer User TrainingDrug TherapyFamily PracticeForms and Records ControlHumansMedical Records Systems, ComputerizedPractice Patterns, Physicians'Prospective StudiesResearch DesignUnited Kingdom

Identifiers

PMID14527973
PMCPMC305461

What OpenQuestion holds

Textmetadata
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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.