Key result
Supplementing automated EHR measurement with free-text note review for CAD quality measures revealed that 15% to 81% of apparent failures were misclassified, improving adherence rates up to 99.2%.
Why the study?
Does supplementing automated EHR measurement with free-text note review improve the accuracy of quality performance measures in patients with CAD?
Observational
No
Does supplementing automated EHR measurement with free-text note review improve the accuracy of quality performance measures in patients with CAD?
Automated EHR-based quality measurement for CAD care significantly underestimates true performance due to misclassification, highlighting the need for improved data recording or free-text review.
No takes yet. Share an insight, caveat, or question.
Automated EHR CAD metrics may underestimate performance; leaves open whether routine note review or better structured data should be adopted.
Stephen D. Persell (2006) conducted an observational in Coronary artery disease (CAD). Automated measurement supplemented by review of free-text notes vs. Automated measurement alone was evaluated on Validity of performance measures for CAD (adherence rate). Supplementing automated EHR measurement with free-text note review for CAD quality measures revealed that 15% to 81% of apparent failures were misclassified, improving adherence rates up to 99.2%.
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