Key result
The ERP Universe process reduced data retrieval time for 10 patients to 76 minutes, an 85% decrease compared to manual abstraction (510 min) and 32% versus a five-universe process (111 min).
Why the study?
Standardised data collection and reporting are critical given heterogeneous ERP outcome metrics, presenting opportunities to leverage EHR systems.
Does an ERP Universe process reduce data retrieval time compared to manual or five-universe processes for surgery patients?
Does an ERP Universe process reduce data retrieval time compared to manual or five-universe processes for surgery patients?
Answers are grounded in this paper and cite their sources.
Implementing a consolidated ERP data universe significantly reduces the time required for data abstraction compared to manual or fragmented processes.
Background: With increasing implementation of enhanced recovery programs (ERPs) in clinical practice, standardised data collection and reporting have become critical in addressing the heterogeneity of metrics used for reporting outcomes. Opportunities exist to leverage electronic health record (EHR) systems to collect, analyse, and disseminate ERP data. Objectives: (i) To consolidate relevant ERP variables into a singular data universe; (ii) To create an accessible and intuitive query tool for rapid data retrieval. Method: We reviewed nine established individual team databases to identify common variables to create one standard ERP data dictionary. To address data automation, we used a third-party business intelligence tool to map identified variables within the EHR system, consolidating variables into a single ERP universe. To determine efficacy, we compared times for four experienced research coordinators to use manual, five-universe, and ERP Universe processes to retrieve ERP data for 10 randomly selected surgery patients. Results: The total times to process data variables for all 10 patients for the manual, five universe, and ERP Universe processes were 510, 111, and 76 min, respectively. Shifting from the five-universe or manual process to the ERP Universe resulted in decreases in time of 32% and 85%, respectively. Conclusion: The ERP Universe improves time spent collecting, analysing, and reporting ERP elements without increasing operational costs or interrupting workflow. Implications: Manual data abstraction places significant burden on resources. The creation of a singular instrument dedicated to ERP data abstraction greatly increases the efficiency in which clinicians and supporting staff can query adherence to an ERP protocol.
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Seif et al. (2022) studied Surgery (n=10). ERP Universe process vs. Manual process and five-universe process was evaluated on Total time to process data variables for 10 patients (85% decrease). The ERP Universe process reduced data retrieval time for 10 patients to 76 minutes, an 85% decrease compared to manual abstraction (510 min) and 32% versus a five-universe process (111 min).
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