Electronic Medical Record Validation:Exploring the Reliability of IntracranialPressure Data Abstracted From theElectronic Medical Record-Pilot

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Abstract

Background and Purpose:

Intracranial pressure (ICP) monitoring is crucial to decision making for neurologically injured patients, yet measurement of ICP varies greatly among practitioners.

Methods:

Unblinded, nonrandomized, observational pilot study comparing ICP values collected using pen and paper (P&P), electronic medical record (EMR), and video data with continuous data acquisition (CDA) technology.

Results:

ICP values did not significantly differ between EMR and P&P records, despite an average of 16 minutes difference in reporting times. ICP values varied significantly when comparing CDA data to EMR or paper.

Conclusion:

The results of this pilot study put in to question the validity of ICP values that are recorded in the medical record, which has implications for patient care and research.

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