Evidence map›Paper›PMID 25954416›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2014

Concordance of Electronic Health Record (EHR) Data Describing Delirium at a VA Hospital.

Joshua Spuhl, Kristina Doing-Harris, Scott Nelson, Nicolette Estrada, Guilherme Del Fiol, Charlene Weir

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Digital Health Data Quality Issues: Systematic Review.Journal of medical Internet research · 2023
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Physician Information Needs in Managing Delirium.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2017
    Article
  7. Differentiating Sense through Semantic Interaction Data.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2016
    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

6 authors.

Joshua SpuhlGeorge E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
Kristina Doing-HarrisGeorge E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
Scott NelsonGeorge E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
Nicolette EstradaGeorge E. Wahlen VA Medical Center, Salt Lake City UT.
Guilherme Del FiolGeorge E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
Charlene WeirGeorge E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelirium is a common syndrome in elderly hospitalized patients that is correlated with poor outcomes and higher costs yet health care teams often overlook its diagnosis and treatment. Poor data quality in EHR systems can be contributing to this as a common tool teams use to communicate and record data about their patients.

methodsData were gathered from 30 patients chosen randomly that spanned various data domains in the EHR. These were analyzed for concordance as an indicator of data quality.

resultsConcordance was high between the physician and nursing narrative documentation. The other domains of data were drastically less concordant. DISCUSSION: The low concordance between structured and narrative data domains suggests that clinicians are forgoing the features available in modern EHR systems and opting to work in narrative. For informatics, this can be troubling as narrative data are difficult to compute.

Indexed as

DeliriumAgedElectronic Health RecordsFemaleHospitals, VeteransHumansInternational Classification of DiseasesMaleQuality ControlUtah

Identifiers

PMID25954416
PMCPMC4419955

What OpenQuestion holds

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Registered trials

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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.