Evidence map›Paper›PMID 40446314›Full record

ArticleJMIR medical informatics2025

A Novel Framework to Assess Clinical Information in Digital Health Technologies: Cross-Sectional Survey Study.

Kayode Philip Fadahunsi, Petra A Wark, Nikolaos Mastellos, Ana Luisa Neves, Joseph Gallagher, Azeem Majeed, Josip Car

Abstract read
In one paragraph

Article in JMIR medical informatics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Kayode Philip FadahunsiDepartment of Primary Care and Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, United Kingdom, +44 02075943368.ORCID 0000-0003-1470-5493
Petra A WarkDepartment of Primary Care and Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, United Kingdom, +44 02075943368.ORCID 0000-0003-1020-4640
Nikolaos MastellosDepartment of Primary Care and Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, United Kingdom, +44 02075943368.ORCID 0000-0003-4573-3657
Ana Luisa NevesDepartment of Primary Care and Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, United Kingdom, +44 02075943368.ORCID 0000-0002-7107-7211
Joseph GallagherDepartment of Primary Care and Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, United Kingdom, +44 02075943368.ORCID 0000-0002-5564-2890
Azeem MajeedDepartment of Primary Care and Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, United Kingdom, +44 02075943368.ORCID 0000-0002-2357-9858
Josip CarDepartment of Primary Care and Public Health, Imperial College London, White City Campus, 80-92 Wood Lane, London, W12 0BZ, United Kingdom, +44 02075943368.ORCID 0000-0001-8969-371X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Digital health is a critical driver of quality, safety, and efficiency in health care. However, poor quality of clinical information in digital health technologies (DHTs) can compromise the quality and safety of care. The Clinical Information Quality (CLIQ) framework was developed, based on a systemic review of literature and an international eDelphi study, as a tool to assess the quality of clinical information in DHTs. objectives: The aim of this study is to assess the applicability, internal consistency, and construct validity of the CLIQ framework. Methods: This study was conducted as a cross-sectional survey of health care professionals across the United Kingdom who regularly use SystmOne electronic health records. Participants were invited through emails and social media platforms. The CLIQ questionnaire was administered as a web-based survey. Spearman correlation coefficients were computed to investigate the linear relationship between the dimensions in the CLIQ framework. The Cronbach α coefficients were computed to assess the internal consistency of the global scale (ie, CLIQ framework) and the subscales (ie, the informativeness, availability, and usability categories). Confirmatory factor analysis was used to assess the extent to which the survey data supported the construct validity of the CLIQ framework. Results: A total of 109 health care professionals completed the survey, of which two-thirds (67, 61.5%) were doctors and a quarter (26, 23.9%) were nurses or advanced nurse practitioners. Overall, the CLIQ dimensions had good quality scores except for portability, which had a modest score. The inter-item correlations were all positive and not likely due to chance. The Cronbach α coefficient for the overall CLIQ framework was 0.89 (95% CI 0.85-0.92). The confirmatory factor analysis provided a modest support for the construct validity of the CLIQ framework with the comparative fit index of 0.86 and standardized root mean square residual of 0.08. Conclusions: The CLIQ framework demonstrated a high reliability and a modest construct validity. The CLIQ framework offers a pragmatic approach to assessing the quality of clinical information in DHTs and could be applied as part of information quality assurance systems in health care settings to improve quality of health information.

Indexed as

Electronic Health RecordsHealth PersonnelAdultCross-Sectional StudiesDigital HealthFemaleHumansMaleMiddle AgedReproducibility of ResultsSurveys and QuestionnairesUnited KingdomapplicabilityClinical Information QualityCLIQconsistencycross-sectionaldigital health technologydoctorhealth care professionalhealth care settinginformationinformation qualitynursepatient safetypractitionerpragmaticquestionnairereliabilitystructural equation modelingsurveyUnited Kingdomvalidity

Identifiers

PMID40446314
PMCPMC12143851

What OpenQuestion holds

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LicenceCC BY
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.