title: Concordance of Electronic Health Record (EHR) Data Describing Delirium at a VA Hospital.
abstract: BACKGROUND
  Delirium is a common syndrome in elderly hospitalized patients that is correlated with poor outcomes and higher costs yet health care teams often overlook its diagnosis and treatment. Poor data quality in EHR systems can be contributing to this as a common tool teams use to communicate and record data about their patients.
  
  
  METHODS
  Data were gathered from 30 patients chosen randomly that spanned various data domains in the EHR. These were analyzed for concordance as an indicator of data quality.
  
  
  RESULTS
  Concordance was high between the physician and nursing narrative documentation. The other domains of data were drastically less concordant.
  
  
  CONCLUSIONS
  The low concordance between structured and narrative data domains suggests that clinicians are forgoing the features available in modern EHR systems and opting to work in narrative. For informatics, this can be troubling as narrative data are difficult to compute.
authors.affiliation: George E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
authors.forename: Joshua
authors.initials: J
authors.lastname: Spuhl
authors.affiliation: George E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
authors.forename: Kristina
authors.initials: K
authors.lastname: Doing-Harris
authors.affiliation: George E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
authors.forename: Scott
authors.initials: S
authors.lastname: Nelson
authors.affiliation: George E. Wahlen VA Medical Center, Salt Lake City UT.
authors.forename: Nicolette
authors.initials: N
authors.lastname: Estrada
authors.affiliation: George E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
authors.forename: Guilherme
authors.initials: G
authors.lastname: Del Fiol
authors.affiliation: George E. Wahlen VA Medical Center, Salt Lake City UT ; University of Utah, Department of Biomedical Informatics, Salt Lake City UT.
authors.forename: Charlene
authors.initials: C
authors.lastname: Weir
mesh_terms: D000368:Aged; D003693:Delirium; D057286:Electronic Health Records / Q000592:standards*; D005260:Female; D006787:Hospitals, Veterans; D006801:Humans; D038801:International Classification of Diseases; D008297:Male; D011786:Quality Control; D014589:Utah