Evidence map›Paper›PMID 26448793›Full record

ArticleApplied clinical informatics2015

eHealth 2015 Special Issue: Impact of Electronic Health Records on the Completeness of Clinical Documentation Generated during Diabetic Retinopathy Consultations.

C Mitsch, P Huber, K Kriechbaum, C Scholda, G Duftschmid, T Wrba, U Schmidt-Erfurth

Abstract read
In one paragraph

Article in Applied clinical informatics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. 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

7 authors.

C MitschMedical University of Vienna , Department of Ophthalmology and Optometrics, Vienna, Austria.
P HuberMedical University of Vienna , Department of Ophthalmology and Optometrics, Vienna, Austria.
K KriechbaumMedical University of Vienna , Department of Ophthalmology and Optometrics, Vienna, Austria.
C ScholdaMedical University of Vienna , Department of Ophthalmology and Optometrics, Vienna, Austria.
G DuftschmidMedical University of Vienna , Center for Medical Statistics, Informatics, and Intelligent Systems, Vienna, Austria.
T WrbaMedical University of Vienna , Center for Medical Statistics, Informatics, and Intelligent Systems, Vienna, Austria.
U Schmidt-ErfurthMedical University of Vienna , Department of Ophthalmology and Optometrics, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo years ago, the Diabetic Retinopathy (DRP) and Traumatology clinic of the Department of Ophthalmology and Optometrics at the Medical University of Vienna, Austria switched from paper-based to electronic health records. A customized electronic health record system (EHR-S) was implemented.

objectivesTo assess the completeness of information documented electronically compared with manually during patient visits.

methodsThe Preferred Practice Pattern for Diabetic Retinopathy published by the American Academy of Ophthalmology was distilled into a list of medical features grouped into categories to be assessed and documented during the management of patients with DRP. The last seventy paper-based records and all electronic records generated since the switch were analyzed and graded for the presence of features on the list and the resulting scores compared.

resultsIn all categories, clinical documentation was more complete in the EHR group.

conclusionsIn our setting, the implementation of an EHR-S showed a statistically significant positive impact on documentation completeness.

Indexed as

Diabetic RetinopathyDocumentationElectronic Health RecordsReferral and ConsultationTelemedicineHumansQuality ControlCare recordsElectronic health records and systemsEncounter notesOphthalmologyTesting and evaluation

Identifiers

PMID26448793
PMCPMC4586337

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.