Studies in health technology and informatics · 2022
Testing a Novel Inpatient Respiratory Depression Electronic Clinical Quality Measure (eCQM) for Orthopedic Practice in Two Large U.S. Health Systems.
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Syrowatka Ania, Li Troy, Curtin-Bowen Mica, Pullman Avery, Lipsitz Stuart R, Sainlaire Michael, Song Wenyu, Thai Tien, Businger Alexandra, Bozic Kevin J, Jiranek William A, Lieberman Jay R, Bates David W, Dykes Patricia C
Аннотация
The objective of this study was to assess the feasibility of using an electronic clinical quality measure (eCQM) to assess inpatient respiratory depression rates following elective primary total hip or total knee arthroplasty using data routinely collected in electronic health records. Measure testing was conducted at two large urban, academic health systems - Mass General Brigham and a geographically distant system in southern U.S. The risk-adjusted inpatient respiratory depression rates were 3.83 and 2.73% for the two health systems, respectively. Clinician group rates ranged from 1.40 to 4.35%, demonstrating opportunity for improvement. Both the data and measure specifications showed strong reliability and validity to allow for calculation of accurate and comparable rates of inpatient respiratory depression.