{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T18:52:46Z","timestamp":1781895166948,"version":"3.54.5"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T00:00:00Z","timestamp":1780704000000},"content-version":"vor","delay-in-days":66,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Swedish government"},{"name":"Swedish National Health Service","award":["2022-0071"],"award-info":[{"award-number":["2022-0071"]}]},{"name":"Swedish Patient Insurance","award":["2022-08"],"award-info":[{"award-number":["2022-08"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The aim of this study was to examine whether a novel semi-automated dataset based on electronic health record documentation can be used for surveillance of central venous catheter-related mechanical complications (failed catheterization, bleeding, cardiac arrhythmia, pneumothorax and nerve injury) within 24\u2009h of catheterization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The semi-automated dataset comprised a fully automated extraction of clinical documentation from the electronic health record supplemented with a minor manual review aimed at identifying pneumothoraces, as these are rarely diagnosed at the time of insertion but rather after a postprocedural chest X-ray. To assess surveillance performance, we compared the number of mechanical complications between the semi-automated and manually evaluated datasets for the same cohort and study period, focusing on agreement in aggregate counts. Comparisons were made at the group level only, without enforcing insertion-by-insertion matching.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 12\u00a0667 insertions were included. Minor mechanical complications occurred in 615 (4.9%) of the insertions in the semi-automated dataset and in 645 (5.1%) of the insertions in the manually validated dataset. Major mechanical complications occurred in 44 (0.35%) of the insertions in the semi-automated dataset compared to 48 (0.38%) in the manually validated dataset.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A semi-automated dataset based on electronic health record documentation provides sufficiently accurate surveillance of central catheterization-related mechanical complications at the group level. Despite minor discrepancies, the semi-automated method enhances efficiency, scalability, and supports continuous real-time quality assurance. The potential underestimation of complication rates is offset by the possibility of robust real-time quality assurance in registries and a substantial analytical power in scientific studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/intqhc\/mzag080","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:46:26Z","timestamp":1780573586000},"source":"Crossref","is-referenced-by-count":0,"title":["Assessment of a novel semi-automated dataset for large-scale surveillance of central venous catheter\u2013related mechanical complications"],"prefix":"10.1093","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7112-9303","authenticated-orcid":false,"given":"Emilia","family":"\u00c4ngeby","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Lund University , Lund,","place":["Sweden"]},{"name":"Department of Intensive and Perioperative Care, Sk\u00e5ne University Hospital , Lund,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Adrian","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Lund University , Lund,","place":["Sweden"]},{"name":"Department of Anaesthesia and Perfusion, The Prince Charles Hospital , Brisbane, Queensland,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathias","family":"Lazarevic Lindblad","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Lund University , Lund,","place":["Sweden"]},{"name":"Department of Intensive and Perioperative Care, Sk\u00e5ne University Hospital , Lund,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ola","family":"Borgquist","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Lund University , Lund,","place":["Sweden"]},{"name":"Department of Cardiothoracic Surgery, Anaesthesia and Intensive Care, Sk\u00e5ne University Hospital , Lund,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Kander","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Lund University , Lund,","place":["Sweden"]},{"name":"Department of Intensive and Perioperative Care, Sk\u00e5ne University Hospital , Lund,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"2026061914083967500_mzag080-B1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00134-001-1154-9","article-title":"Central venous catheter use. 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