Evidence map›Paper›PMID 25848565›Full record

ArticleEGEMS (Washington, DC)2013

Preparing Electronic Clinical Data for Quality Improvement and Comparative Effectiveness Research: The SCOAP CERTAIN Automation and Validation Project.

Emily Beth Devine, Daniel Capurro, Erik van Eaton, Rafael Alfonso-Cristancho, Allison Devlin, N David Yanez, Meliha Yetisgen-Yildiz, David R Flum, Peter Tarczy-Hornoch

Open access · diamondAbstract read
In one paragraph

Article in EGEMS (Washington, DC), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 5% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Colorectal Cancer Test Completion among Adults Aged 45 to 75 in an Integrated Healthcare System: A Retrospective Analysis.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
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  14. Pragmatic (trial) informatics: a perspective from the NIH Health Care Systems Research Collaboratory.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
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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

9 authors at 2 institutions in 1 country.

Emily Beth DevineUniversity of Washington.
Daniel CapurroUniversity of Washington.
Erik van EatonUniversity of Washington.
Rafael Alfonso-CristanchoUniversity of Washington.
Allison DevlinUniversity of Washington.
N David YanezUniversity of Washington.
Meliha Yetisgen-YildizUniversity of Washington.
David R FlumUniversity of Washington.
Peter Tarczy-HornochUniversity of Washington.
University of Washington · USSeattle University · US

Funding

Surgical Care and Outcomes Assessment Program Comparative Effectiveness ResearchR01HS020025 · AHRQ · UNIVERSITY OF WASHINGTON · PI FLUM, DAVID R · 2010 to 2010
$10.8M
AcademyHealth Electronic Data Methods (EDM) Forum for Comparative Effectiveness RU13HS019564 · AHRQ · ACADEMYHEALTH · PI HOLVE, ERIN C · 2010 to 2010
$3.9M
AHRQ HHS R01 HS020025AHRQ HHS U13 HS019564
6 · The paper itself

Abstract

backgroundThe field of clinical research informatics includes creation of clinical data repositories (CDRs) used to conduct quality improvement (QI) activities and comparative effectiveness research (CER). Ideally, CDR data are accurately and directly abstracted from disparate electronic health records (EHRs), across diverse health-systems.

objectiveInvestigators from Washington State's Surgical Care Outcomes and Assessment Program (SCOAP) Comparative Effectiveness Research Translation Network (CERTAIN) are creating such a CDR. This manuscript describes the automation and validation methods used to create this digital infrastructure.

methodsSCOAP is a QI benchmarking initiative. Data are manually abstracted from EHRs and entered into a data management system. CERTAIN investigators are now deploying Caradigm's Amalga™ tool to facilitate automated abstraction of data from multiple, disparate EHRs. Concordance is calculated to compare data automatically to manually abstracted. Performance measures are calculated between Amalga and each parent EHR. Validation takes place in repeated loops, with improvements made over time. When automated abstraction reaches the current benchmark for abstraction accuracy - 95% - itwill 'go-live' at each site. PROGRESS TO DATE: A technical analysis was completed at 14 sites. Five sites are contributing; the remaining sites prioritized meeting Meaningful Use criteria. Participating sites are contributing 15-18 unique data feeds, totaling 13 surgical registry use cases. Common feeds are registration, laboratory, transcription/dictation, radiology, and medications. Approximately 50% of 1,320 designated data elements are being automatically abstracted-25% from structured data; 25% from text mining.

conclusionIn semi-automating data abstraction and conducting a rigorous validation, CERTAIN investigators will semi-automate data collection to conduct QI and CER, while advancing the Learning Healthcare System.

Indexed as

CERTAINComparative EffectivenessHealth Information TechnologyInformaticsQuality Improvement

Identifiers

PMID25848565
PMCPMC4371452
OpenAlexW2028567167

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.