TY - JOUR
T1 - Electronic medical record validation
T2 - Exploring the reliability of intracranial pressure data abstracted from the electronic medical record-pilot
AU - Olson, DaiWai M.
AU - Rogers, Michael S.
AU - Stutzman, Sonja E.
PY - 2015
Y1 - 2015
N2 - Background and Purpose: Intracranial pressure (ICP) monitoring is crucial to decision making for neurologically injured patients, yet measurement of ICP varies greatly among practitioners. Methods: Unblinded, nonrandomized, observational pilot study comparing ICP values collected using pen and paper (P&P), electronic medical record (EMR), and video data with continuous data acquisition (CDA) technology. Results: ICP values did not significantly differ between EMR and P&P records, despite an average of 16 minutes difference in reporting times. ICP values varied significantly when comparing CDA data to EMR or paper. Conclusion: The results of this pilot study put in to question the validity of ICP values that are recorded in the medical record, which has implications for patient care and research.
AB - Background and Purpose: Intracranial pressure (ICP) monitoring is crucial to decision making for neurologically injured patients, yet measurement of ICP varies greatly among practitioners. Methods: Unblinded, nonrandomized, observational pilot study comparing ICP values collected using pen and paper (P&P), electronic medical record (EMR), and video data with continuous data acquisition (CDA) technology. Results: ICP values did not significantly differ between EMR and P&P records, despite an average of 16 minutes difference in reporting times. ICP values varied significantly when comparing CDA data to EMR or paper. Conclusion: The results of this pilot study put in to question the validity of ICP values that are recorded in the medical record, which has implications for patient care and research.
KW - Documentation
KW - External ventricular drain
KW - Intracranial pressure
KW - Nursing
UR - http://www.scopus.com/inward/record.url?scp=84952656859&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84952656859&partnerID=8YFLogxK
U2 - 10.1891/1061-3749.23.3.532
DO - 10.1891/1061-3749.23.3.532
M3 - Article
C2 - 28234194
AN - SCOPUS:84952656859
SN - 1061-3749
VL - 23
SP - 532
EP - 540
JO - Journal of Nursing Measurement
JF - Journal of Nursing Measurement
IS - 3
ER -