title: Examining clinical decision support integrity: is clinician self-reported data entry accurate?
abstract: The aim of this study was to assess the accuracy of clinician-entered data in imaging clinical decision support (CDS). We used CDS-guided CT angiography (CTA) for pulmonary embolus (PE) in the emergency department as a case example because it required clinician entry of d-dimer results which could be unambiguously compared with actual laboratory values. Of 1296 patients with CTA orders for suspected PE during 2011, 1175 (90.7%) had accurate d-dimer values entered. In 55 orders (4.2%), incorrectly entered data shielded clinicians from intrusive computer alerts, resulting in potential CTA overuse. Remaining data entry errors did not affect user workflow. We found no missed PEs in our cohort. The majority of data entered by clinicians into imaging CDS are accurate. A small proportion may be intentionally erroneous to avoid intrusive computer alerts. Quality improvement methods, including academic detailing and improved integration between electronic medical record and CDS to minimize redundant data entry, may be necessary to optimize adoption of evidence presented through CDS.
authors.affiliation: Center for Evidence-Based Imaging, Brigham and Women's Hospital, Boston, Massachusetts, USA.
authors.forename: Anurag
authors.initials: A
authors.lastname: Gupta
authors.forename: Ali S
authors.initials: AS
authors.lastname: Raja
authors.forename: Ramin
authors.initials: R
authors.lastname: Khorasani
mesh_terms: D000792:Angiography / Q000379:methods; D020000:Decision Support Systems, Clinical; D003952:Diagnostic Imaging; D004636:Emergency Service, Hospital; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis; D006801:Humans; D016247:Information Storage and Retrieval / Q000592:standards*; D019300:Medical Errors; D050316:Medical Order Entry Systems / Q000592:standards*; D011651:Pulmonary Artery / Q000000981:diagnostic imaging; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000000981:diagnostic imaging; D058996:Quality Improvement; D014057:Tomography, X-Ray Computed
chemical_list: D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D
keywords: Computerized Physician Order Entry System; Decision Support Systems, Clinical; Electronic Health Records; Evidence-Based Practice; Radiology