the international council on medical & care compunetics


December, 2014

quality control

Data extraction from a semi-structured electronic medical record system for outpatients: a model to facilitate the access and use of data for quality control and research

Kristianson KJ et al, Health Informatics Journal, 15(4)

The use of clinical data from electronic medical records (EMRs) for clinical research and for evaluation of quality of care requires an extraction process. Many efforts have failed because the extracted data seemed to be unstructured, incomplete and ridden by errors. We have developed and tested a concept of extracting semi-structured EMRs (Journal III, Profdoc) data from 776 diabetes patients in a general practice clinic over a 5 year period. We used standard database management techniques commonly applied in clinical research in the pharmaceutical industry to clean up the data and make the data available for statistical analysis.
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1 August 2010 | No Comments »
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Direct text entry in electronic progress notes. An evaluation of input errors

Weir CR et al, Methods of Information in Medicine, 42(1)

It is not uncommon that the introduction of a new technology fixes old problems while introducing new ones. The Veterans Administration recently implemented a comprehensive electronic medical record system (CPRS) to support provider order entry. Progress notes are entered directly by clinicians, primarily through keyboard input. Due to concerns that there may be significant, invisible disruptions to information flow, this study was conducted to formally examine the incidence and characteristics of input errors in the electronic patient record.
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5 July 2010 | No Comments »
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Inside the Health Blogosphere: Quality, Governance and the New Innovation Leaders

Seeman, Neil, ElectronicHealthcare, 7(3)

Research has shown that “Health 2.0″ – that is, user-generated health information often featuring blogging (i.e., self-publishing) or collaborative editing tools known as wikis – is increasingly popular among health professionals, chronic disease sufferers and the general public. However, concerns persist over the alleged inaccuracy, bias and poor governance of self-published health websites, or blogs, where an author’s entries are usually placed in chronological order, much like a diary.
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17 February 2009 | No Comments »
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How to find the good and avoid the bad or ugly: a short guide to tools for rating quality of health information on the internet

Wilson, Petra, BMJ, 324(7337)

Health related websites are frequently accessed on the internet. A poll in August 2001 concluded that almost 100 million American adults regularly go on line for information about health care. As over 100 000 sites offer health related information, “trying to get information from the internet is like drinking from a fire hose, you don’t even know what the source of the water is.”

13 December 2007 | No Comments »
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Rating health information on the Internet: navigating to knowledge or to Babel?

Jadad, Alejandro R., and Anna Gagliardi, JAMA, 279(8)

The rapid growth of the Internet has triggered an information revolution of unprecedented magnitude. Despite its obvious benefits, the increase in the availability of information could also result in many potentially harmful effects on both consumers and health professionals who do not use it appropriately.
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13 December 2007 | No Comments »
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Examination of instruments used to rate quality of health information on the internet: chronicle of a voyage with an unclear destination

Gagliardi, Anna, and Alejandro R. Jadad, BMJ, 324(7337)

This study updates work published in 1998, which found that of 47 rating instruments appearing on websites offering health information, 14 described how they were developed, five provided instructions for use, and none reported the interobserver reliability and construct validity of the measurements.
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13 December 2007 | No Comments »
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