Prospective study of clinician-entered research data in the Emergency Department using an Internet-based system after the HIPAA Privacy Rule

Kline, Jeffrey A.; Johnson, Charles L.; Webb, William B.; Runyon, Michael S.

doi:10.1186/1472-6947-4-17

Cited by 35 publications

(33 citation statements)

References 8 publications

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“…[3][4][5][6][7][8][9][10][11][12][13] Besides the current study, 3 other controlled trials have compared data collection using handheld computers and paper and pencil methods. [4][5][6] In an audit of care in hospital medical wards in the United Kingdom, an electronic system saved time, decreased staffi ng costs, and reduced errors.…”

Section: Discussionmentioning

confidence: 99%

Data Collection Outcomes Comparing Paper Forms With PDA Forms in an Office-Based Patient Survey

Galliher¹,

Stewart²,

Pathak³

et al. 2008

The Annals of Family Medicine

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PURPOSEWe compared the completeness of data collection using paper forms and using electronic forms loaded on handheld computers in an offi ce-based patient interview survey conducted within the American Academy of Family Physicians National Research Network. METHODSWe asked 19 medical assistants and nurses in family practices to administer a survey about pneumococcal immunizations to 60 older adults each, 30 using paper forms and 30 using electronic forms on handheld computers. By random assignment, the interviewers used either the paper or electronic form fi rst. Using multilevel analyses adjusted for patient characteristics and clustering of forms by practice, we analyzed the completeness of the data.RESULTS A total of 1,003 of the expected 1,140 forms were returned to the data center. The overall return rate was better for paper forms (537 of 570, 94%) than for electronic forms (466 of 570, 82%) because of technical diffi culties experienced with electronic data collection and stolen or lost handheld computers. Errors of omission on the returned forms, however, were more common using paper forms. Of the returned forms, only 3% of those gathered electronically had errors of omission, compared with 35% of those gathered on paper. Similarly, only 0.04% of total survey items were missing on the electronic forms, compared with 3.5% of the survey items using paper forms.CONCLUSIONS Although handheld computers produced more complete data than the paper method for the returned forms, they were not superior because of the large amount of missing data due to technical diffi culties with the handheld computers or loss or theft. Other hardware solutions, such as tablet computers or cell phones linked via a wireless network directly to a Web site, may be better electronic solutions for the future.

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Section: Discussionmentioning

confidence: 99%

Data Collection Outcomes Comparing Paper Forms With PDA Forms in an Office-Based Patient Survey

Galliher¹,

Stewart²,

Pathak³

et al. 2008

The Annals of Family Medicine

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“…This could further increase user convenience and make data even faster available, as the "HPCDS Core" application and the following data transfer could start automatically after finishing data input [24]. Special attention would have to be paid to ensure data safety and privacy by means of high encryption standards for such a distribution within data networks [11].…”

Section: Prospective Improvementmentioning

confidence: 99%

“…Such documentation needs to rely on a platform which features real-time data entry as well as ease of use and stability in the hectic setting of usually urgent medical situations [11,12].…”

Section: Introductionmentioning

confidence: 99%

Experiences with a PDA-based Documentation System in Clinical Research

et al. 2010

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New clinical treatment concepts and the implementation of algorithms usually require extensive documentation for scientifical evaluation and quality assurance. A consequent electronic documentation approach potentially facilitates data integrity and availablity and decreases the amount of time spent with manual transfer from paper data into computer systems. The development and the components of the "Heidelberg PDA-based Clinical Documentation Suite" are described. This system allows electronic documentation and post-processing in a timely manner using an affordable standard Personal Digital Assistant (PDA). It features almost universal customizability to new documentation requirements and can be used with only minimal prior training. Initial experiences are reported and prospective improvement possibilities are discussed.

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“…18 The largest of these databases was explicitly collected for this purpose, and the methods of data collection have also been published. 23 All of the databases were collected for the purpose of studying the diagnostic evaluation of acute PE in symptomatic patients. Patients were enrolled in the ED based on clinical suspicion of PE prompting formal diagnostic testing for PE.…”

Section: Study Setting and Populationmentioning

confidence: 99%

Accuracy of Very Low Pretest Probability Estimates for Pulmonary Embolism Using the Method of Attribute Matching Compared with the Wells Score

Kline

Courtney

Than

et al. 2010

Academic Emergency Medicine

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Objectives: Attribute matching matches an explicit clinical profile of a patient to a reference database to estimate the numeric value for the pretest probability of an acute disease. The authors tested the accuracy of this method for forecasting a very low probability of venous thromboembolism (VTE) in symptomatic emergency department (ED) patients. Methods:The authors performed a secondary analysis of five data sets from 15 hospitals in three countries. All patients had data collected at the time of clinical evaluation for suspected pulmonary embolism (PE). The criterion standard to exclude VTE required no evidence of PE or deep venous thrombosis (DVT) within 45 days of enrollment. To estimate pretest probabilities, a computer program selected, from a large reference database of patients previously evaluated for PE, patients who matched 10 predictor variables recorded for each current test patient. The authors compared the outcome frequency of having VTE [VTE(+)] in patients with a pretest probability estimate of <2.5% by attribute matching, compared with a value of 0 from the Wells score.Results: The five data sets included 10,734 patients, and 747 (7.0%, 95% confidence interval [CI] = 6.5% to 7.5%) were VTE(+) within 45 days. The pretest probability estimate for PE was <2.5% in 2,975 of 10,734 (27.7%) patients, and within this subset, the observed frequency of VTE(+) was 48 of 2,975 (1.6%, 95% CI = 1.2% to 2.1%). The lowest possible Wells score (0) was observed in 3,412 (31.7%) patients, and within this subset, the observed frequency of VTE(+) was 79 of 3,412 (2.3%, 95% CI = 1.8% to 2.9%) patients.Conclusions: Attribute matching categorizes over one-quarter of patients tested for PE as having a pretest probability of <2.5%, and the observed rate of VTE within 45 days in this subset was <2.5%.ACADEMIC EMERGENCY MEDICINE 2010; 17:133-141 ª

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Prospective study of clinician-entered research data in the Emergency Department using an Internet-based system after the HIPAA Privacy Rule

Cited by 35 publications

References 8 publications

Data Collection Outcomes Comparing Paper Forms With PDA Forms in an Office-Based Patient Survey

Data Collection Outcomes Comparing Paper Forms With PDA Forms in an Office-Based Patient Survey

Experiences with a PDA-based Documentation System in Clinical Research

Accuracy of Very Low Pretest Probability Estimates for Pulmonary Embolism Using the Method of Attribute Matching Compared with the Wells Score

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