Evidence map›Paper›PMID 29659868›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2018

Automatic population of eMeasurements from EHR systems for inpatient falls.

Insook Cho, Eun-Hee Boo, Soo-Youn Lee, Patricia C Dykes

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Review
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

4 authors.

Insook ChoNursing Department, Inha University, Incheon, Republic of Korea.
Eun-Hee BooDepartment of Nursing, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Ilsandong-gu, Goyang-si, Gyeonggi-do, Republic of Korea, 10444.
Soo-Youn LeeNursing Department, Inha University, Incheon, Republic of Korea.
Patricia C DykesThe Center for Patient Safety Research and Practice, Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, 02120, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Representing nursing data sets in a standard way will help to facilitate sharing relevant information across settings. We aimed to populate nursing process and outcome metrics with electronic health record (EHR) data and then compare the results with event reporting systems. Methods: We used the "eMeasure" development process of the National Quality Forum adopted by the American Nurses Association. We used operational definitions of quality measures from the American Nurses Association and the US Institute for Healthcare Improvement and employed concept mapping of local data elements to 2 controlled vocabularies to define a standard data dictionary: (1) Logical Observation Identifiers Names and Codes and (2) International Classification for Nursing Practice. We assessed feasibility using the nursing data set of 7829 and 8199 patients from 2 general hospitals with different EHR systems. Using inpatient falls as a use case, we compared the populated measures with results from the event reporting systems. Results: We identified 17 care components and 118 unique concepts and matched them with data elements in the EHRs. Including suboptimal mapping, 98% of the assessment concepts mapped to Logical Observation Identifiers Names and Codes and 52.9% of intervention concepts mapped to International Classification for Nursing Practice. While not all process indicators were available from event reporting systems, we successfully populated 9 fall prevention process indicators and the fall rate outcome indicator from the 2 EHRs. We were unable to populate the falls with an injury rate indicator. Conclusions: EHR data can populate fall prevention process measure metrics and at least one inpatient fall prevention outcome metric.

Indexed as

Accidental FallsElectronic Health RecordsNursing ProcessProcess Assessment, Health CareHumansInformation DisseminationInpatientsLogical Observation Identifiers Names and CodesVocabulary, Controlled

Identifiers

PMID29659868
PMCPMC7647033

What OpenQuestion holds

Textmetadata
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.