Literature DB >> 24626065

Cognitive complexity of the medical record is a risk factor for major adverse events.

David Roberson1, Michael Connell2, Shay Dillis3, Kimberlee Gauvreau4, Rebecca Gore5, Elaina Heagerty6, Kathy Jenkins7, Lin Ma8, Amy Maurer9, Jessica Stephenson10, Margot Schwartz11.   

Abstract

CONTEXT: Patients in tertiary care hospitals are more complex than in the past, but the implications of this are poorly understood as "patient complexity" has been difficult to quantify.
OBJECTIVE: We developed a tool, the Complexity Ruler, to quantify the amount of data (as bits) in the patient’s medical record. We designated the amount of data in the medical record as the cognitive complexity of the medical record (CCMR). We hypothesized that CCMR is a useful surrogate for true patient complexity and that higher CCMR correlates with risk of major adverse events.
DESIGN: The Complexity Ruler was validated by comparing the measured CCMR with physician rankings of patient complexity on specific inpatient services. It was tested in a case-control model of all patients with major adverse events at a tertiary care pediatric hospital from 2005 to 2006. MAIN OUTCOME MEASURES: The main outcome measure was an externally reported major adverse event. We measured CCMR for 24 hours before the event, and we estimated lifetime CCMR.
RESULTS: Above empirically derived cutoffs, 24-hour and lifetime CCMR were risk factors for major adverse events (odds ratios, 5.3 and 6.5, respectively). In a multivariate analysis, CCMR alone was essentially as predictive of risk as a model that started with 30-plus clinical factors.
CONCLUSIONS: CCMR correlates with physician assessment of complexity and risk of adverse events. We hypothesize that increased CCMR increases the risk of physician cognitive overload. An automated version of the Complexity Ruler could allow identification of at-risk patients in real time.

Entities:  

Mesh:

Year:  2014        PMID: 24626065      PMCID: PMC3951023          DOI: 10.7812/TPP/12-142

Source DB:  PubMed          Journal:  Perm J        ISSN: 1552-5767


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Journal:  Pediatrics       Date:  2010-09-20       Impact factor: 7.124

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1.  Professional and interprofessional differences in electronic health records use and recognition of safety issues in critically ill patients.

Authors:  Knewton K Sakata; Laurel S Stephenson; Ashley Mulanax; Jesse Bierman; Karess Mcgrath; Gretchen Scholl; Adrienne McDougal; David T Bearden; Vishnu Mohan; Jeffrey A Gold
Journal:  J Interprof Care       Date:  2016-06-24       Impact factor: 2.338

  1 in total

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