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First published online February 11, 2010

Review: Electronic Health Records and the Reliability and Validity of Quality Measures: A Review of the Literature

Abstract

Previous reviews of research on electronic health record (EHR) data quality have not focused on the needs of quality measurement. The authors reviewed empirical studies of EHR data quality, published from January 2004, with an emphasis on data attributes relevant to quality measurement. Many of the 35 studies reviewed examined multiple aspects of data quality. Sixty-six percent evaluated data accuracy, 57% data completeness, and 23% data comparability. The diversity in data element, study setting, population, health condition, and EHR system studied within this body of literature made drawing specific conclusions regarding EHR data quality challenging. Future research should focus on the quality of data from specific EHR components and important data attributes for quality measurement such as granularity, timeliness, and comparability. Finally, factors associated with poor or variability in data quality need to be better understood and effective interventions developed.

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Published In

Article first published online: February 11, 2010
Issue published: October 2010

Keywords

  1. electronic health record
  2. quality of care
  3. measurement
  4. reliability
  5. validity

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© The Author(s) 2010.
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PubMed: 20150441

Authors

Affiliations

Kitty S. Chan
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, [email protected]
Jinnet B. Fowles
Park Nicollet Institute, Minneapolis, MN
Jonathan P. Weiner
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

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