TITLE

eQuality: Electronic Quality Assessment From Narrative Clinical Reports

AUTHOR(S)
Brown, Steven H.; Speroff, Theodore; Fielstein, Elliot M.; Bauer, Brent A.; Wahner-Roedler, Dietlind L.; Greevy, Robert; Elkin, Peter L.
PUB. DATE
November 2006
SOURCE
Mayo Clinic Proceedings;Nov2006, Vol. 81 Issue 11, p1472
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: To evaluate an electronic quality (eQuality) assessment tool for dictated disability examination records. METHODS: We applied automated concept-based indexing techniques to automated quality screening of Department of Veterans Affairs spine disability examinations that had previously undergone gold standard quality review by human experts using established quality indicators. We developed automated quality screening rules and refined them iteratively on a training set of disability examination reports. We applied the resulting rules to a novel test set of spine disability examination reports. The initial data set was composed of all electronically available examination reports (N=125,576) finalized by the Veterans Health Administration between July and September 2001. RESULTS: Sensitivity was 91% for the training set and 87% for the test set (P=.O2). Specificity was 74% for the training set and 71% for the test set (P=.44}. Human performance ranged from 4% to 6% higher (P<.001} than the eQuality tool in sensitivity and 13% to 16% higher in specificity (P<.001). In addition, the eQuality tool was equivalent or higher in sensitivity for 5 of 9 individual quality indicators. CONCLUSION: The results demonstrate that a properly authored computer-based expert systems approach can perform quality measurement as well as human reviewers for many quality indicators. Although automation will likely always rely on expert guidance to be accurate and meaningful, eQuality is an important new method to assist clinicians in their efforts to practice safe and effective medicine.
ACCESSION #
23863961

 

Related Articles

  • Plenary Session: Path to the Paralympics. Cole, Kevin // Podiatry Now;Feb2012, Vol. 15 Issue 2, p26 

    No abstract available.

  • Straight and Tall. Hiskins, Brad // Massage Australia;Nov2004, Issue 48, p30 

    Presents information on the subjective and objective assessment of the thoracic spine. Possible subjective assessment points; Thoracic hyperkyphosis and common accompanying presentations when standing; Conditions that cause a mobile thoracic spine and a stiff thoracic spine; Mobility tests for...

  • Characteristics of the functioning of the cardio-respiratory system and autonomic regulation in para-athletes with spinal injury. Ternovoy, K.; Romanchuk, A.; Sorokin, M.; Pankova, N. // Human Physiology;Jul2012, Vol. 38 Issue 4, p410 

    The functional state in wheelchair basketball players with damage to the vertebral column in the area of T- T and paraplegia was studied. The subjects were 26.6 ± 1.7 years old on average ( n = 9). Control subjects were disabled persons who led an active life, with a mean age of 44.5 ± 2.6...

  • Reviewer's comment concerning 'Dose-response and structural injury in the disability of spinal injury' (doi:10.1007/s00586-012-2498-2 by M. S. Patel et al.). Kanna, Rishi // European Spine Journal;Mar2013, Vol. 22 Issue 3, p521 

    The author comments on the article "Dose-response and structural injury in the disability of spinal injury," by M. S. Patel and colleagues. A brief overview on the study is provided which explores the relationship between structural injury, low back pain and spinal disability. The author...

  • The Active Care Continuum. Morgan, William // ACA News (American Chiropractic Association);Oct2009, Vol. 5 Issue 10, p20 

    The article presents the author's insights on the importance of physical therapy in the progression of passive care to active health care of patients with spinal injuries. It states that chiropractic adjustment works well with active care which can improve the levels of activity of patients. It...

  • Nerves of steel.  // India Today;9/16/2013, p43 

    The article features Sminu Jindal, managing director of India's industrial firm Jindal Saw. It claims that the wheelchair-bound Marwari woman has broken stereotypes, including getting back on track after sustaining a severe spinal injury from a car accident when she was a teenager. It details...

  • WEBWISE. Foreman, Marion // Nursing Standard;1/9/2013, Vol. 27 Issue 19, p28 

    The article reviews the web site of the Poppa Guttmann Recognition and Celebration Project at Stoke Mandeville Hospital’s National Spinal Injuries Centre, which is located at poppaguttmanncelebration.org.

  • Editorial. Saevi, Tone // Phenomenology & Practice;2011, Vol. 5 Issue 1, p1 

    An introduction is presented in which the editor discusses various reports within the issue on topics including horse training, encouragement of bodily improvisation in children with motor disabilities, and learning process of person with spinal chord injuries with peers.

  • Infirmative Action: The Law of the Severely Disabled in Germany. Jackson, Christopher R. // Central European History (Brill Academic Publishers);Dec93, Vol. 26 Issue 4, p417 

    Focuses on the implementation of the Law of the Severely Disabled in Germany. Recruitment of disabled person in the workplace; Implication of the law for status protection; Regulation of the recruitment practices of an employer.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics