Cited by 839Medical Coding and Health InformationElectronic Health Records SystemsSurvey Methodology and Nonresponse

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Validation of information recorded on general practitioner based computerised data resource in the United Kingdom.

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Jick, H, Jick, S S, Derby, L E·1991·BMJ

DOI 10.1136/bmj.302.6779.766PMC PMC1669537

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Abstract

OBJECTIVE: To determine the extent of agreement between clinical information recorded on surgery computers of selected general practitioners and similar information in manual records of letters received from hospital consultants and kept in the general practitioners' files. DESIGN: Hospital consultants' letters in the manual records of selected general practitioners were photocopied and the consultants' clinical diagnoses were compared with diagnoses recorded on computer. SETTING: General practices in the United Kingdom using computers provided by VAMP Health for recording clinical information. SUBJECTS: 2491 patients who received one of three non-steroidal anti-inflammatory drugs and who attended 58 practices whose computer recorded data were considered after a preliminary review to be of satisfactory quality. RESULTS: Among 1191 patients for whom consultants' letters were forwarded a clinical diagnosis reflecting the diagnosis noted on a consultant letter was present on the computer record for 1038 (87%). CONCLUSION: Clinical information available on the computer records of the general practitioners who participated in this study is satisfactory for many clinical studies.

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Authors: Jick, H., Jick, S. S., & Derby, L. E.
Affiliations: Boston University (US)
ORCID: Jick, H
Jick, S S
Venue: BMJ
Publisher: BMJ
Published: 1991-03-30
Volume: 302
Issue: 6779
Pages: 766-768
ISSN: 0007-1447 (ISSN-L)
0959-8138
1468-5833
DOI: 10.1136/bmj.302.6779.766
PMC: PMC1669537
OpenAlex: W2157604999
Cited by: 839
References: 5
Citations by year: 2026: 3 · 2025: 3 · 2024: 3 · 2023: 5 · 2022: 11 · 2021: 7 · 2020: 6 · 2019: 11 · 2018: 20 · 2017: 11 · 2016: 25 · 2015: 31 · 2014: 34 · 2013: 45 · 2012: 51
FWCI: 54.39
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: BMJ (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed (publishedVersion)
Funders: Pfizer
U.S. Food and Drug Administration (FD-U-000071-09)
Topics: Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
Keywords: electronic health records, general practitioners, data validation, hospital-primary care communication, nonsteroidal anti-inflammatory drugs
MeSH terms: Anti-Inflammatory Agents, Non-Steroidal, Data Collection, Diagnosis, Evaluation Studies as Topic, Family Practice, United Kingdom, Humans, Medical Records, Microcomputers, Safety, Correspondence as Topic, Medical Records Systems, Computerized

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Validation of information recorded on general practitioner based computerised data resource in the United Kingdom.

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