Measuring the quality of medical records: a method for comparing completeness and correctness of clinical encounter data.
Year: 2001
Type: article
Abstract: This paper explores the attributes of quality in recorded clinical encounter data, examines issues in measuring these attributes, and describes a method for measuring two attributes, completeness and correctness. The method is defined in the context of computer-based records and is demonstrated in a pilot study. Videotaped physician-patient encounters and an empiric process of determining a gold standard for content are used. The methodology was found to be feasible. Problems encountered during the pilot study can be remedied.
Source: Europe PMC (PubMed Central)
Authors: J R Logan, P N Gorman, B Middleton
Institution: Oregon Health & Science University
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W189667920