Assessment of Clinical Information Quality in Digital Health Technologies: International eDelphi Study.

Journal: Journal of medical Internet research

Volume: 24

Issue: 12

Year of Publication: 2022

Affiliated Institutions:  Department of Primary Care and Public Health, Imperial College London, London, United Kingdom. gHealth Research Group, School of Medicine, University College Dublin, Dublin, Ireland. Leeds Teaching Hospital National Health Service Trust, Leeds, United Kingdom. Health Board, Hywel Dda University, Wales, United Kingdom. Glasgow Royal Infirmary, National Health Service Greater Glasgow and Clyde, Glasgow, United Kingdom. Oxford University National Health Service Foundation Trusts, Oxford, United Kingdom. Leeds Children's Hospital, Leeds, United Kingdom. Wheaton Hall Medical Practice, Drogheda, Co Louth, Ireland. Croydon Health Services, Croydon, United Kingdom. Department of Paediatrics and Child Health, Evercare Hospital Lekki, Lagos, Nigeria. Department of Ophthalmology, University Eye Hospital Tübingen, Tübingen, Germany. School of Medicine, University of Limerick, Limerick, Ireland. Institute for Excellence in Health Professions Education, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai, United Arab Emirates. National Health Service Forth Valley, Scotland, United Kingdom. National eHealth Living Lab, Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, Netherlands. University Hospital for Infectious Diseases, Zagreb, Croatia. Medical Research Council Unit The Gambia, London School of Hygiene & Tropical Medicine, Fajara, Gambia. West Hertfordshire Teaching Hospitals National Health Service Trust, Watford, United Kingdom. Acute Medicine Section, Department of Internal Medicine, Amsterdam University Medical Centers, VU Medical Center Location, Amsterdam, Netherlands. Department of Mental Health, Nnewi Campus, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria. Centre for Population Health Sciences, Lee Kong Chian Medicine, Nanyang Technological University, Singapore, Singapore.

Abstract summary 

Digital health technologies (DHTs), such as electronic health records and prescribing systems, are transforming health care delivery around the world. The quality of information in DHTs is key to the quality and safety of care. We developed a novel clinical information quality (CLIQ) framework to assess the quality of clinical information in DHTs.This study explored clinicians' perspectives on the relevance, definition, and assessment of information quality dimensions in the CLIQ framework.We used a systematic and iterative eDelphi approach to engage clinicians who had information governance roles or personal interest in information governance; the clinicians were recruited through purposive and snowball sampling techniques. Data were collected using semistructured online questionnaires until consensus was reached on the information quality dimensions in the CLIQ framework. Responses on the relevance of the dimensions were summarized to inform decisions on retention of the dimensions according to prespecified rules. Thematic analysis of the free-text responses was used to revise definitions and the assessment of dimensions.Thirty-five clinicians from 10 countries participated in the study, which was concluded after the second round. Consensus was reached on all dimensions and categories in the CLIQ framework: informativeness (accuracy, completeness, interpretability, plausibility, provenance, and relevance), availability (accessibility, portability, security, and timeliness), and usability (conformance, consistency, and maintainability). A new dimension, searchability, was introduced in the availability category to account for the ease of finding needed information in the DHTs. Certain dimensions were renamed, and some definitions were rephrased to improve clarity.The CLIQ framework reached a high expert consensus and clarity of language relating to the information quality dimensions. The framework can be used by health care managers and institutions as a pragmatic tool for identifying and forestalling information quality problems that could compromise patient safety and quality of care.RR2-10.1136/bmjopen-2021-057430.

Authors & Co-authors:  Fadahunsi Kayode Philip KP Wark Petra A PA Mastellos Nikolaos N Neves Ana Luisa AL Gallagher Joseph J Majeed Azeem A Webster Andrew A Smith Anthony A Choo-Kang Brian B Leon Catherine C Edwards Christopher C O'Shea Conor C Heitz Elizabeth E Kayode Olamide Valentine OV Nash Makeba M Kowalski Martin M Jiwani Mateen M O'Callaghan Michael Edmund ME Zary Nabil N Henderson Nicola N Chavannes Niels H NH Čivljak Rok R Olubiyi Olubunmi Abiola OA Mahapatra Piyush P Panday Rishi Nannan RN Oriji Sunday O SO Fox Tatiana Erlikh TE Faint Victoria V Car Josip J

Study Outcome 

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Statistics
Citations :  World Health Organization . Global strategy on digital health 2020-2025. Geneva, Switzerland: World Health Organisation; 2021. pp. 1–45.
Authors :  29
Identifiers
Doi : e41889
SSN : 1438-8871
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
DHT;clarity;decision support system;digital health technologies;digital health technology;framework;framework development;information quality;patient safety;perspective;readability;searchability;security;thematic analysis;understandability;understandable
Study Design
Study Approach
Country of Study
Publication Country
Canada