Onur Sahin, Audrey Zhao, Reuben Joseph Applegate, Todd R Johnson, Elmer V Bernstam
{"title":"病历重复的流行病学。","authors":"Onur Sahin, Audrey Zhao, Reuben Joseph Applegate, Todd R Johnson, Elmer V Bernstam","doi":"10.1055/a-2423-8499","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong> Duplicate patient records can increase costs and medical errors. We assessed the association between demographic factors, comorbidities, health care usage, and duplicate electronic health records.</p><p><strong>Methods: </strong> We analyzed the association between duplicate patient records and multiple demographic variables (race, Hispanic ethnicity, sex, and age) as well as the Charlson Comorbidity Index (CCI), number of diagnoses, and number of health care encounters. The study population included 3,018,413 patients seen at a large urban academic medical center with at least one recorded diagnosis. Duplication of patient medical records was determined by using a previously validated enterprise Master Person Index.</p><p><strong>Results: </strong> Unknown or missing demographic data, Black race when compared with White race (odds ratio [OR]: 1.35, <i>p</i> < 0.001), Hispanic compared with non-Hispanic ethnicity (OR: 1.48, <i>p</i> < 0.001), older age (OR: 1.01, <i>p</i> < 0.001), and \"Other\" sex compared with female sex (OR: 4.71, <i>p</i> < 0.001) were associated with higher odds of having a duplicate record. Comorbidities (CCI, OR: 1.10, <i>p</i> < 0.001) and more encounters with the health care system (OR: 1.01, <i>p</i> < 0.001) were also associated with higher odds of having a duplicate record. In contrast, male sex compared with female sex was associated with lower odds of having a duplicate record (OR: 0.88, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong> The odds of duplications in medical records were higher in Black, Hispanic, older, nonmale patients with more health care encounters, more comorbidities, and unknown demographic data. Understanding the epidemiology of duplicate records can help guide prevention and mitigation efforts for high-risk populations. Duplicate records can contribute to disparities in health care outcomes for minority populations.</p>","PeriodicalId":48956,"journal":{"name":"Applied Clinical Informatics","volume":" ","pages":"24-30"},"PeriodicalIF":2.1000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710899/pdf/","citationCount":"0","resultStr":"{\"title\":\"Epidemiology of Patient Record Duplication.\",\"authors\":\"Onur Sahin, Audrey Zhao, Reuben Joseph Applegate, Todd R Johnson, Elmer V Bernstam\",\"doi\":\"10.1055/a-2423-8499\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong> Duplicate patient records can increase costs and medical errors. We assessed the association between demographic factors, comorbidities, health care usage, and duplicate electronic health records.</p><p><strong>Methods: </strong> We analyzed the association between duplicate patient records and multiple demographic variables (race, Hispanic ethnicity, sex, and age) as well as the Charlson Comorbidity Index (CCI), number of diagnoses, and number of health care encounters. The study population included 3,018,413 patients seen at a large urban academic medical center with at least one recorded diagnosis. Duplication of patient medical records was determined by using a previously validated enterprise Master Person Index.</p><p><strong>Results: </strong> Unknown or missing demographic data, Black race when compared with White race (odds ratio [OR]: 1.35, <i>p</i> < 0.001), Hispanic compared with non-Hispanic ethnicity (OR: 1.48, <i>p</i> < 0.001), older age (OR: 1.01, <i>p</i> < 0.001), and \\\"Other\\\" sex compared with female sex (OR: 4.71, <i>p</i> < 0.001) were associated with higher odds of having a duplicate record. Comorbidities (CCI, OR: 1.10, <i>p</i> < 0.001) and more encounters with the health care system (OR: 1.01, <i>p</i> < 0.001) were also associated with higher odds of having a duplicate record. In contrast, male sex compared with female sex was associated with lower odds of having a duplicate record (OR: 0.88, <i>p</i> < 0.001).</p><p><strong>Conclusion: </strong> The odds of duplications in medical records were higher in Black, Hispanic, older, nonmale patients with more health care encounters, more comorbidities, and unknown demographic data. Understanding the epidemiology of duplicate records can help guide prevention and mitigation efforts for high-risk populations. Duplicate records can contribute to disparities in health care outcomes for minority populations.</p>\",\"PeriodicalId\":48956,\"journal\":{\"name\":\"Applied Clinical Informatics\",\"volume\":\" \",\"pages\":\"24-30\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11710899/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Applied Clinical Informatics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2423-8499\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/9/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"MEDICAL INFORMATICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Applied Clinical Informatics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2423-8499","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/27 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"MEDICAL INFORMATICS","Score":null,"Total":0}
Objectives: Duplicate patient records can increase costs and medical errors. We assessed the association between demographic factors, comorbidities, health care usage, and duplicate electronic health records.
Methods: We analyzed the association between duplicate patient records and multiple demographic variables (race, Hispanic ethnicity, sex, and age) as well as the Charlson Comorbidity Index (CCI), number of diagnoses, and number of health care encounters. The study population included 3,018,413 patients seen at a large urban academic medical center with at least one recorded diagnosis. Duplication of patient medical records was determined by using a previously validated enterprise Master Person Index.
Results: Unknown or missing demographic data, Black race when compared with White race (odds ratio [OR]: 1.35, p < 0.001), Hispanic compared with non-Hispanic ethnicity (OR: 1.48, p < 0.001), older age (OR: 1.01, p < 0.001), and "Other" sex compared with female sex (OR: 4.71, p < 0.001) were associated with higher odds of having a duplicate record. Comorbidities (CCI, OR: 1.10, p < 0.001) and more encounters with the health care system (OR: 1.01, p < 0.001) were also associated with higher odds of having a duplicate record. In contrast, male sex compared with female sex was associated with lower odds of having a duplicate record (OR: 0.88, p < 0.001).
Conclusion: The odds of duplications in medical records were higher in Black, Hispanic, older, nonmale patients with more health care encounters, more comorbidities, and unknown demographic data. Understanding the epidemiology of duplicate records can help guide prevention and mitigation efforts for high-risk populations. Duplicate records can contribute to disparities in health care outcomes for minority populations.
期刊介绍:
ACI is the third Schattauer journal dealing with biomedical and health informatics. It perfectly complements our other journals Öffnet internen Link im aktuellen FensterMethods of Information in Medicine and the Öffnet internen Link im aktuellen FensterYearbook of Medical Informatics. The Yearbook of Medical Informatics being the “Milestone” or state-of-the-art journal and Methods of Information in Medicine being the “Science and Research” journal of IMIA, ACI intends to be the “Practical” journal of IMIA.