Electronic Medical Record Validation: Exploring the Reliability of intracranial Pressure Data Abstracted From the Electronic Medical Record-Pilot

DaiWai M. Olson; Michael S. Rogers; Sonja E. Stutzman

doi:10.1891/1061-3749.23.3.E142

Electronic Medical Record Validation: Exploring the Reliability of intracranial Pressure Data Abstracted From the Electronic Medical Record-Pilot

DaiWai M. Olson, Michael S. Rogers, Sonja E. Stutzman

Research output: Contribution to journal › Article › peer-review

Abstract

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 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.

CONCLUSIONS: The results of this pilot study put in to question the validity of ICP values that are recorded in the medical record, which has implication for patient care and research.

Original language	English (US)
Pages (from-to)	532-540
Number of pages	9
Journal	Journal of Nursing Measurement
Volume	23
Issue number	3
DOIs	https://doi.org/10.1891/1061-3749.23.3.E142
State	Published - 2015

ASJC Scopus subject areas

General Medicine

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10.1891/1061-3749.23.3.E142

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abstract = "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 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.CONCLUSIONS: The results of this pilot study put in to question the validity of ICP values that are recorded in the medical record, which has implication for patient care and research.",

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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 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.CONCLUSIONS: The results of this pilot study put in to question the validity of ICP values that are recorded in the medical record, which has implication for patient care and research.

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Electronic Medical Record Validation: Exploring the Reliability of intracranial Pressure Data Abstracted From the Electronic Medical Record-Pilot

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