{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T17:24:20Z","timestamp":1768411460277,"version":"3.49.0"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>\n          Background: Computerized clinical decision support and automation of warnings have been advocated to assist clinicians in detecting patients at risk of physiological instability. To provide reliable support such systems are dependent on high-quality vital sign data. Data quality depends on how, when and why the data is captured and\/or documented.<\/jats:p><jats:p>\n          Objectives: This study aims to describe the effects on data quality of vital signs by three different types of documentation practices in five Swedish emergency hospitals, and to assess data fitness for calculating warning and triage scores. The study also provides reference data on triage vital signs in Swedish emergency care.<\/jats:p><jats:p>\n          Methods: We extracted a dataset including vital signs, demographic and administrative data from emergency care visits (n=335027) at five Swedish emergency hospitals during 2013 using either completely paper-based, completely electronic or mixed documentation practices. Descriptive statistics were used to assess fitness for use in emergency care decision support systems aiming to calculate warning and triage scores, and data quality was described in three categories: currency, completeness and correctness. To estimate correctness, two further categories \u2013plausibility and concordance \u2013were used.<\/jats:p><jats:p>\n          Results: The study showed an acceptable correctness of the registered vital signs irrespectively of the type of documentation practice. Completeness was high in sites where registrations were routinely entered into the Electronic Health Record (EHR). The currency was only acceptable in sites with a completely electronic documentation practice.<\/jats:p><jats:p>\n          Conclusion: Although vital signs that were recorded in completely electronic documentation practices showed plausible results regarding correctness, completeness and currency, the study concludes that vital signs documented in Swedish emergency care EHRs cannot generally be considered fit for use for calculation of triage and warning scores. Low completeness and currency were found if the documentation was not completely electronic.<\/jats:p><jats:p>\n          Citation: Skyttberg N, Chen R, Blomqvist H, Koch S. Exploring Vital Sign Data Quality in Electronic Health Records with Focus on Emergency Care Warning Scores. Appl Clin Inform 2017; 8: 880\u2013892 https:\/\/doi.org\/10.4338\/ACI-2017-05-RA-0075<\/jats:p>","DOI":"10.4338\/aci-2017-05-ra-0075","type":"journal-article","created":{"date-parts":[[2017,8,30]],"date-time":"2017-08-30T13:00:26Z","timestamp":1504098026000},"page":"880-892","source":"Crossref","is-referenced-by-count":23,"title":["Exploring Vital Sign Data Quality in Electronic Health Records with Focus on Emergency Care Warning Scores"],"prefix":"10.4338","volume":"08","author":[{"given":"Rong","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans","family":"Blomqvist","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Koch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niclas","family":"Skyttberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2017,12,20]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1007\/s00134-012-2769-8","article-title":"Surviving Sepsis Campaign: international guidelines for management of severe sepsis and septic shock, 2012","volume":"39","author":"RP Dellinger","year":"2013","journal-title":"Intensive Care Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/MEJ.0000000000000173","article-title":"The predictive validity of RETTS-HEV as an acuity triage tool in the emergency department of a Danish Regional Hospital","volume":"23","author":"N P\u00e9rez","year":"2016","journal-title":"Eur J Emerg Med"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.resuscitation.2016.02.005","article-title":"The value of vital sign trends for detecting clinical deterioration on the wards","volume":"102","author":"MM Churpek","year":"2016","journal-title":"Resuscitation"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"42.","DOI":"10.1186\/1757-7241-19-42","article-title":"Emergency department triage scales and their components: a systematic review of the scientific evidence","volume":"19","author":"N Farrohknia","year":"2011","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"61.","DOI":"10.1186\/s12911-016-0305-4","article-title":"How to improve vital sign data quality for use in clinical decision support systems? 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