Evidence map›Paper›PMID 27411943›Full record

ArticleBMC medical informatics and decision making2016

Feasibility of extracting data from electronic medical records for research: an international comparative study.

Michelle Helena van Velthoven, Nikolaos Mastellos, Azeem Majeed, John O'Donoghue, Josip Car

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

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

  1. Pooled it
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  16. A Canadian strategy for surgical quality improvementCanadian journal of surgery. Journal canadien de chirurgie · 2019
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  19. Measuring the quality and completeness of medication-related information derived from hospital electronic health records database.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2019
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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.

Michelle Helena van VelthovenGlobal eHealth Unit, Department of Primary Care and Public Health, Imperial College London, London, UK.
Nikolaos MastellosGlobal eHealth Unit, Department of Primary Care and Public Health, Imperial College London, London, UK.
Azeem MajeedGlobal eHealth Unit, Department of Primary Care and Public Health, Imperial College London, London, UK.
John O'DonoghueGlobal eHealth Unit, Department of Primary Care and Public Health, Imperial College London, London, UK.
Josip CarGlobal eHealth Unit, Department of Primary Care and Public Health, Imperial College London, London, UK. josip.car@imperial.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElectronic medical records (EMR) offer a major potential for secondary use of data for research which can improve the safety, quality and efficiency of healthcare. They also enable the measurement of disease burden at the population level. However, the extent to which this is feasible in different countries is not well known. This study aimed to: 1) assess information governance procedures for extracting data from EMR in 16 countries; and 2) explore the extent of EMR adoption and the quality and consistency of EMR data in 7 countries, using management of diabetes type 2 patients as an exemplar.

methodsWe included 16 countries from Australia, Asia, the Middle East, and Europe to the Americas. We undertook a multi-method approach including both an online literature review and structured interviews with 59 stakeholders, including 25 physicians, 23 academics, 7 EMR providers, and 4 information commissioners. Data were analysed and synthesised thematically considering the most relevant issues.

resultsWe found that procedures for information governance, levels of adoption and data quality varied across the countries studied. The required time and ease of obtaining approval also varies widely. While some countries seem ready for secondary uses of data from EMR, in other countries several barriers were found, including limited experience with using EMR data for research, lack of standard policies and procedures, bureaucracy, confidentiality, data security concerns, technical issues and costs.

conclusionsThis is the first international comparative study to shed light on the feasibility of extracting EMR data across a number of countries. The study will inform future discussions and development of policies that aim to accelerate the adoption of EMR systems in high and middle income countries and seize the rich potential for secondary use of data arising from the use of EMR solutions.

Indexed as

AdultElectronic Health RecordsFeasibility StudiesHumansInformation Storage and RetrievalData collection [MeSH]Electronic health records [MeSH]Electronic medical recordsGlobal health [MeSH]

Identifiers

PMID27411943
PMCPMC4944506

What OpenQuestion holds

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LicenceCC BY
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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.