Research Article | Open Access
Quality of Electronic Health Records - Coverage of Potential Information Weaknesses by Major EHR Quality Seals
Objectives: The Certification Commission for Healthcare Information Technology (CCHIT) and EuroRec offer the most prominent functional approaches to Electronic Health Record quality certification in the US and Europe. The current study aims at the analysis of these approaches from the perspective of weaknesses in information exchange. Furthermore, the implicit coverage of the information dimension within their functional requirements is analyzed. Methods: The quality frameworks from the CCHIT and EuroRec were compared to a comprehensive and universal categorization of communication errors in order to determine the communication problems anticipated by these two approaches. Results: The approaches of the CCHIT and EuroRec anticipate nearly the same communication errors but their number with regard to the error categorization is rather low. The two approaches include problem classes, such as authorization problems, wrong details in data, data loss, and poor quality content. Areas that are not covered include application errors, errors with regard to information transcription, etc. Conclusion: The current study points out that the approaches of the CCHIT and EuroRec only cover a small part of the possible communication errors with their functional requirements. Therefore, an integration of the identified, missing errors in the requirements proposed by CCHIT and EuroRec should be closely considered.
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