Wurster, Florian ORCID: 0000-0001-5527-9238, Herrmann, Christin ORCID: 0000-0003-1986-7512, Beckmann, Marina ORCID: 0000-0002-9826-3575, Cecon-Stabel, Natalia ORCID: 0000-0002-2548-5986, Dittmer, Kerstin ORCID: 0000-0003-3390-1377, Hansen, Till ORCID: 0000-0001-6175-7670, Jaschke, Julia ORCID: 0000-0003-3424-2588, Köberlein-Neu, Juliane ORCID: 0000-0002-3451-7847, Okumu, Mi-Ran ORCID: 0000-0002-9301-8829, Pfaff, Holger ORCID: 0000-0001-9154-6575, Rusniok, Carsten ORCID: 0000-0002-5383-4549 and Karbach, Ute ORCID: 0000-0003-3479-9474 (2024). 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, 24 (1). pp. 1-10. Springer Nature. ISSN 1472-6947

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Abstract

[Artikel-Nr.: 258] Purpose: The European health data space promises an efficient environment for research and policy-making. However, this data space is dependent on high data quality. The implementation of electronic medical record systems has a positive impact on data quality, but improvements are not consistent across empirical studies. This study aims to analyze differences in the changes of data quality and to discuss these against distinct stages of the electronic medical record’s adoption process. Methods: Paper-based and electronic medical records from three surgical departments were compared, assessing changes in data quality after the implementation of an electronic medical record system. Data quality was operationalized as completeness of documentation. Ten information that must be documented in both record types (e.g. vital signs) were coded as 1 if they were documented, otherwise as 0. Chi-Square-Tests were used to compare percentage completeness of these ten information and t-tests to compare mean completeness per record type. Results: A total of N = 659 records were analyzed. Overall, the average completeness improved in the electronic medical record, with a change from 6.02 ( SD = 1.88) to 7.2 ( SD = 1.77). At the information level, eight information improved, one deteriorated and one remained unchanged. At the level of departments, changes in data quality show expected differences. Conclusion: The study provides evidence that improvements in data quality could depend on the process how the electronic medical record is adopted in the affected department. Research is needed to further improve data quality through implementing new electronical medical record systems or updating existing ones.

Item Type: Article
Creators:
Creators
Email
ORCID
ORCID Put Code
Wurster, Florian
UNSPECIFIED
UNSPECIFIED
Herrmann, Christin
UNSPECIFIED
UNSPECIFIED
Beckmann, Marina
UNSPECIFIED
UNSPECIFIED
Cecon-Stabel, Natalia
UNSPECIFIED
UNSPECIFIED
Dittmer, Kerstin
UNSPECIFIED
UNSPECIFIED
Hansen, Till
UNSPECIFIED
UNSPECIFIED
Jaschke, Julia
UNSPECIFIED
UNSPECIFIED
Köberlein-Neu, Juliane
UNSPECIFIED
UNSPECIFIED
Okumu, Mi-Ran
UNSPECIFIED
UNSPECIFIED
Pfaff, Holger
UNSPECIFIED
UNSPECIFIED
Rusniok, Carsten
UNSPECIFIED
UNSPECIFIED
Karbach, Ute
UNSPECIFIED
UNSPECIFIED
URN: urn:nbn:de:hbz:38-814612
Identification Number: 10.1186/s12911-024-02667-0
Journal or Publication Title: BMC Medical Informatics and Decision Making
Volume: 24
Number: 1
Page Range: pp. 1-10
Number of Pages: 10
Date: 16 September 2024
Publisher: Springer Nature
ISSN: 1472-6947
Language: English
Faculty: Faculty of Medicine
Divisions: Faculty of Medicine > Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft > Institut für Medizinsoziologie, Versorgungsforschung und Rehabilitationswissenschaft (IMVR)
Subjects: Medical sciences Medicine
['eprint_fieldname_oa_funders' not defined]: Publikationsfonds UzK
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/81461

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