Title
Concordance of Electronic Health Record (EHR) Data Describing Delirium at a VA Hospital.
Abstract
Delirium is a common syndrome in elderly hospitalized patients that is correlated with poor outcomes and higher costs yet health care teams often overlook its diagnosis and treatment. Poor data quality in EHR systems can be contributing to this as a common tool teams use to communicate and record data about their patients.Data were gathered from 30 patients chosen randomly that spanned various data domains in the EHR. These were analyzed for concordance as an indicator of data quality.Concordance was high between the physician and nursing narrative documentation. The other domains of data were drastically less concordant.The low concordance between structured and narrative data domains suggests that clinicians are forgoing the features available in modern EHR systems and opting to work in narrative. For informatics, this can be troubling as narrative data are difficult to compute.
Year
Venue
Field
2014
AMIA
Health care,Informatics,Data quality,Concordance,Narrative,Delirium,Medical record,Medical emergency,Documentation,Medicine
DocType
Volume
ISSN
Conference
2014
1942-597X
Citations 
PageRank 
References 
1
0.40
2
Authors
6
Name
Order
Citations
PageRank
Joshua Spuhl110.40
Kristina Doing-Harris210.40
Scott Nelson310.40
Nicolette Estrada410.40
Guilherme Del Fiol5133.89
Charlene Weir610.40