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- Title
Electronic Medical Record Validation: Exploring the Reliability of Intracranial Pressure Data Abstracted From the Electronic Medical Record-Pilot.
- Authors
Olson, DaiWai M.; Rogers, Michael S.; Stutzman, Sonja E.
- 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, 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.
- Subjects
TEXAS; PATIENT monitoring equipment; DOCUMENTATION; ELECTRONIC health records; COMPARATIVE studies; STATISTICAL correlation; INTENSIVE care nursing; INTRACRANIAL pressure; RESEARCH methodology; SCIENTIFIC observation; PATIENT monitoring; RESEARCH evaluation; T-test (Statistics); TIME; VIDEO recording; PILOT projects; DESCRIPTIVE statistics; EQUIPMENT &; supplies
- Publication
Journal of Nursing Measurement, 2015, Vol 23, Issue 3, p532
- ISSN
1061-3749
- Publication type
Article
- DOI
10.1891/1061-3749.23.3.532