Research Article | Open Access
Samrend Saboor, Alexander Hoerbst, Elske Ammenwerth, "Quality of Electronic Health Records - Coverage of Potential Information Weaknesses by Major EHR Quality Seals", Journal of Healthcare Engineering, vol. 2, Article ID 416971, 24 pages, 2011. https://doi.org/10.1260/2040-2218.104.22.1685
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.
- F. Burns, Information for Health: An information strategy for the modern NHS, 1998- 2005. A national strategy for local implementation. 2006. http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_4002944.
- S. Saboor and E. Ammenwerth, “Categorizing communication errors in integrated hospital information systems,” Methods Inf Med, vol. 48, no. 2, pp. 203–10, 2009.
- CCHIT, Get involved with the Certification Commission. 2010 http://www.cchit.org/participate. Accessed June 14, 2011.
- M. Leavitt and M. E. O'Kane, Joint Statement from the National Committee for Quality Assurance and the Certification Commission for Healthcare Information Technology. 2005. http://www.ncqa.org/Portals/0/Newsroom/2005/Joint_5_24_05.pdf.
- Public Law 111-5. American Recovery and Reinvestment Act of 2009. 2009 http://www.gpo.gov/fdsys/pkg/PLAW-111publ5/pdf/PLAW-111publ5.pdf.
- CCHIT, Certification Handbook – Preliminary ARRA, 2011 Certification Program, 2009.
- A. Hörbst, Grundlagen der Qualitätszertifizierung von Diensten im Rahmen der Elektronischen Gesundheitsakte, in Institute for Health Information Systems. 2008, UMIT - University for Health Sciences, Medical Informatics and Technology Hall in Tyrol. p. 321.
- EuroRec, Articles of Association. 2006. http://www.eurorec.org/files/filesPublic/statuten_eurorec.pdf, Accessed June 14, 2011.
- J. Devlies, The EuroRec Seal 2010, 2009.
- S. Dwyer, “A personalized view of the history of PACS in the USA,” in Proceedings of the SPIE: Medical Imaging 2000: PACS Design and Evaluation: Engineering and Clinical Issues, San Diego, CA, USA, 2000.
- ACR/NEMA, DICOM Homepage. 2008. Available from: http://medical.nema.org. Accessed June 14, 2011.
- HL7, Health Level 7. 2008. http://hl7.org, Accessed June 14, 2011.
- E. Coiera, “When conversation is better than computation,” JAMIA, vol. 7, no. 3, pp. 277–286, 2000.
- R. Haux et al., “Information processing in healthcare at the start of the third Millennium: potential and limitations,” Methods Inf Med, vol. 40, no. 2, pp. 156–62, 2001.
- P. Mayring, Qualitative Inhaltsanalyse - Grundlagen und Techniken, Beltz Verlag, Weinheim und Basel, 8 edition, 2000.
- P. Mayring, Einführung in die qualitative Sozialforschung : eine Anleitung zu qualitativem Denken, 5., überarb. Aufl, Beltz, Psychologie-Verl.Union. 170 S, Weinheim, 2002.
- J. D. Lian, I. C. Lin, and H. C. Wu, “Case report: Taiwan's experience in adopting IHE technical framework to integrate systems,” Stud Health Technol Inform, vol. 122, p. 877, 2006.
- M. E. Blado and A. Tomlinson, “Monitoring the accuracy of a PACS image database,” J Digit Imaging, vol. 15 Suppl 1, pp. 87–95, 2002.
- P. M. Kuzmak and R. E. Dayhoff, “Minimizing Digital Imaging and Communications in Medicine (DICOM) Modality Worklist patient/study selection errors,” J Digit Imaging, vol. 14, no. 2 Suppl 1, pp. 153–7, 2001.
- H. König and K. J. Klose, “Modelling of radiological services in the context of a hospital information system: does the DICOM standard meet the requirements?” Radiologie, vol. 38, no. 10, pp. 872–82, 1998.
- J. Bortz and N. Döring, Forschungsmethoden und Evaluation für Human- und Sozialwissenschaftler, Springer Verlag, Berlin, Heidelberg, New York, 3 edition, 2003.
- J. Gläser and G. Laudel, Experteninterviews und qualitative Inhaltsanalyse als Instrumente rekonstruierender Untersuchungen, VS Verlag für Sozialwissenschaften, Wiesbaden, 1 edition, 2004.
- A. Hoerbst and E. Ammenwerth, “Electronic health records. A systematic review on quality requirements,” Methods Inf Med, vol. 49, no. 4, pp. 320–36, 2010.
- epSOS, About epSOS., 2011. http://www.epsos.eu/about-epsos.html. Accessed June 14, 2011.
- HITCH, HITCH - Welcome to the HITCH Project!. 2011. http://www.hitch-project.eu/. Accessed June 14, 2011.
- IHE International, About IHE., 2008. http://www.ihe.net/About/index.cfm. Accessed June 14, 2011.
Copyright © 2011 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.