Caveats for the use of operational electronic health record data in comparative effectiveness research

William R. Hersh, Mark G. Weiner, Peter J. Embi, Judith R. Logan, Philip R.O. Payne, Elmer V. Bernstam, Harold P. Lehmann, George Hripcsak, Timothy H. Hartzog, James J. Cimino, Joel H. Saltz

Research output: Contribution to journalArticle

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Abstract

The growing amount of data in operational electronic health record systems provides unprecedented opportunity for its reuse for many tasks, including comparative effectiveness research. However, there are many caveats to the use of such data. Electronic health record data from clinical settings may be inaccurate, incomplete, transformed in ways that undermine their meaning, unrecoverable for research, of unknown provenance, of insufficient granularity, and incompatible with research protocols. However, the quantity and real-world nature of these data provide impetus for their use, and we develop a list of caveats to inform would-be users of such data as well as provide an informatics roadmap that aims to insure this opportunity to augment comparative effectiveness research can be best leveraged.

Original languageEnglish (US)
Pages (from-to)S30-S37
JournalMedical care
Volume51
Issue number8 SUPPL.3
DOIs
StatePublished - Aug 1 2013

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Keywords

  • biomedical informatics
  • clinical data
  • coded (claims) data
  • comparative effectiveness research
  • electronic health records

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Hersh, W. R., Weiner, M. G., Embi, P. J., Logan, J. R., Payne, P. R. O., Bernstam, E. V., Lehmann, H. P., Hripcsak, G., Hartzog, T. H., Cimino, J. J., & Saltz, J. H. (2013). Caveats for the use of operational electronic health record data in comparative effectiveness research. Medical care, 51(8 SUPPL.3), S30-S37. https://doi.org/10.1097/MLR.0b013e31829b1dbd