ArticlePloS one2023
The data quality and applicability of a Danish prehospital electronic health record: A mixed-methods study.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06666647 (Ambulance and Helicopter Response Times in Danish Emergency Medical Services), which is not on this map. Cited by 10 papers.
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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.
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.
Ambulance and Helicopter Response Times in Danish Emergency Medical Services: Protocol for an Epidemiological Study. The AHRTEMIS Study
Who cites it
10 citing papers in PubMed, 9 citations in OpenAlex.
- Prehospital Births in the Region of Southern Denmark-A Cohort From 2016 to 2024.Acta anaesthesiologica Scandinavica · 2026Article
- Cross-border collaboration in a major incident: emergency medical services response to a train crash.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Trends in urgency levels and risk of acute critical condition among prehospital patients. A seven-year observational historic register-based cohort study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Observational
- The Danish Drowning Cohort: Evaluation of Data Availability for Fatal and Non-Fatal Drowning Incidents.Clinical epidemiology · 2026Article
- Final diagnoses and mortality rates in ambulance patients administered nebulized β2-agonists bronchodilators.Internal and emergency medicine · 2025Observational
- Improving prediction accuracy of hospital arrival vital signs using a multi-output machine learning model: a retrospective study of JSAS-registry data.BMC emergency medicine · 2025Article
- The use of strong analgesics for prehospital pain management in children in the region of Southern Denmark: a register-based study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Article
- Significant room for improvement in the prehospital assessment and treatment of acute abdominal pain: a retrospective observational study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Observational
- Existing Data Sources in Clinical Epidemiology: The Danish Prehospital Medical Record System.Clinical epidemiology · 2025Review
- Differences in changes of data completeness after the implementation of an electronic medical record in three surgical departments of a German hospital-a longitudinal comparative document analysis.BMC medical informatics and decision making · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWithout accurate documentation, it can be difficult to assess the quality of care and the impact of quality improvement initiatives. Prehospital lack of documentation of the basic measurements is associated with a twofold risk of mortality. The aim of this study was to investigate data quality in the electronic prehospital patient record (ePPR) system in the Region of Southern Denmark. In addition, we investigated ambulance professionals' attitudes toward the use of ePPR and identified barriers and facilitators to its use.
methodWe used an explanatory sequential mixed-methods design. Phase one consisted of a retrospective assessment of the data quality of ePPR information, and phase two included semi-structured interviews with ambulance professionals combined with observations. We included patients who were acutely transported to an emergency department by ambulance in the Region of Southern Denmark from 2016 to 2020. Data completeness was calculated for each vital sign using a two-way table of frequency. Vital signs were summarised to calculate data correctness. Interviews and observations were analysed using thematic analysis.
resultsOverall, an improvement in data completeness and correctness was observed from 2016-2020. When stratified by age group, children (<12 years) accounted for the majority of missing vital sign registrations. In the thematic analysis, we identified four themes; ambulance professionals' attitudes, emergency setting, training and guidelines, and tablet and software.
conclusionWe found high data quality, but there is room for improvement. The ambulance professionals' attitudes toward the ePPR, working in an emergency setting, a notion of insufficient training in completing the ePPR, and challenges related to the tablet and software could be barriers to data completeness and correctness. It would be beneficial to include the end-user when developing an ePPR system and to consider that the tablet should be used in emergency situations.
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Registered trials
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.