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

  • 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.

  • In The Game: ATHLETICS.  // Sports 'n Spokes Magazine;Mar2014, Vol. 40 Issue 2, p14 

    The article offers information on the annual Warrior Games to be held from September 28 to October 4, 2014 at the U.S. Air Force Academy in Colorado Springs, Colorado, wherein more than 200 service members and veterans are expected to compete in seven sports.

  • Hotel Beds. Gouge, Alice // PN;Jan2011, Vol. 65 Issue 1, p11 

    A letter to the editor is presented in response to the article "Has Access Really Improved?" in the July 2010 issue.

  • Guadalajara Era. Tumidajski, Jack // PN;Apr2012, Vol. 66 Issue 4, p11 

    A letter to the editor is presented which discusses the author's publication of "Guadalajara: The Utopia That Once Was."

  • Travelin' Man. Stephenson, Greg // PN;May2012, Vol. 66 Issue 5, p11 

    A letter to the editor is presented in response to the article "You Said It...," by Guadalajara Era in the April 2012 issue.

  • sports & rec. 26.2 miles.  // PN;May2012, Vol. 66 Issue 5, p53 

    The article offers the author's insights on his motivation to complete his first marathon. The author says that his reason on joining the Top End/ Paralyzed Veterans of America (PVA) Euro America Championships on February 6, 2012 was for physical and psychological needs. He states that he...

  • Military Paralympians.  // PN;Oct2012, Vol. 66 Issue 10, p48 

    The article reports that several current or retired military members represented Team USA at the Paralympic Games in London, also provided is a list of some of the veterans on Team USA, including Will Groulx, Scott Winkler, and Eric Hollen.

  • Ship Ahoy!  // PN;Jan2014, Vol. 68 Issue 1, p19 

    Photographs of Paralyzed Veterans of America (PVA) member Ben Ritter who was honored as the Tampa Bay Buccaneers' military Hero of the Game for their September 29, 2013 football game against the Aizona Cardinals are presented.

  • Handcycling.  // PN;Jul2014, Vol. 68 Issue 7, p51 

    The article announces that team Paralyed Veterans Racing handcyclists Tammy Landeen, Will Groulx, Alfredo de los Santos and Gerald Ah-Fook had won individual titles at the Redlands Classic tournament in Redlands, California on April 3-6, 2014.

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