Evidence map›Paper›PMID 27274019›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Improving the quality of EHR recording in primary care: a data quality feedback tool.

Sjoukje van der Bij, Nasra Khan, Petra Ten Veen, Dinny H de Bakker, Robert A Verheij

Abstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Electronic health record data quality assessment and tools: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2023
    Pooled it
  2. Pooled it
  3. Article
  4. How to ensure effective and sustainable ILI surveillance in Belgian general practices? : protocol.Archives of public health = Archives belges de sante publique · 2026
    Article
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  7. Observational
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  9. Article
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  13. Data Quality in Health Research: Integrative Literature Review.Journal of medical Internet research · 2023
    Review
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  16. Observational
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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

5 authors.

Sjoukje van der BijNIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands R.verheij@nivel.nl.
Nasra KhanNIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Petra Ten VeenNIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Dinny H de BakkerNIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.
Robert A VerheijNIVEL, Netherlands Institute for Health Services Research, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveElectronic health record (EHR) data are used to exchange information among health care providers. For this purpose, the quality of the data is essential. We developed a data quality feedback tool that evaluates differences in EHR data quality among practices and software packages as part of a larger intervention.

methodsThe tool was applied in 92 practices in the Netherlands using different software packages. Practices received data quality feedback in 2010 and 2012.

resultsWe observed large differences in the quality of recording. For example, the percentage of episodes of care that had a meaningful diagnostic code ranged from 30% to 100%. Differences were highly related to the software package. A year after the first measurement, the quality of recording had improved significantly and differences decreased, with 67% of the physicians indicating that they had actively changed their recording habits based on the results of the first measurement. About 80% found the feedback helpful in pinpointing recording problems. One of the software vendors made changes in functionality as a result of the feedback.

conclusionsOur EHR data quality feedback tool is capable of highlighting differences among practices and software packages. As such, it also stimulates improvements. As substantial variability in recording is related to the software package, our study strengthens the evidence that data quality can be improved substantially by standardizing the functionalities of EHR software packages.

Indexed as

Data AccuracyFeedbackPractice Patterns, Physicians'Primary Health CareClinical CodingElectronic Health RecordsHumansMedical Records Systems, ComputerizedNetherlandsQuality of Health CareSoftwareelectronic health recordmedical informaticsprimary care

Identifiers

PMID27274019
PMCPMC7654082

What OpenQuestion holds

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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.