Discrepancies between the medical record and the reports of patients with acute coronary syndrome regarding important aspects of the medical history

BMC Health Services Research

Volumn 12, Issue 1, 2012, Pages

  Eze Nliam, Chete ^a,b   Cain, Kellie ^b   Bond, Kasey ^c   Forlenza, Keith ^c   Jankowski, Rachel ^c   Magyar Russell, Gina ^b,c   Yenokyan, Gayane ^d   Ziegelstein, Roy C ^b  

^a JOHNS HOPKINS BAYVIEW MEDICAL CENTER   (United States)

^b JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c LOYOLA UNIVERSITY MARYLAND   (United States)

^d JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE CORONARY SYNDROME; AGED; ANAMNESIS; ARTICLE; CROSS-SECTIONAL STUDY; EDUCATIONAL STATUS; FEMALE; HEALTH CARE QUALITY; HEALTH STATUS; HEALTH SURVEY; HOSPITALIZATION; HUMAN; MALE; MEDICAL RECORD; METHODOLOGY; MIDDLE AGED; PATIENT; PSYCHOLOGICAL ASPECT; QUESTIONNAIRE; SELF REPORT; STANDARD; STATISTICS;

ACUTE CORONARY SYNDROME; AGED; CROSS-SECTIONAL STUDIES; EDUCATIONAL STATUS; FEMALE; HEALTH STATUS; HEALTH STATUS INDICATORS; HOSPITALIZATION; HUMANS; MALE; MEDICAL HISTORY TAKING; MEDICAL RECORDS; MIDDLE AGED; PATIENTS; QUALITY ASSURANCE, HEALTH CARE; QUESTIONNAIRES; SELF REPORT;

EID: 84858726193     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-12-78     Document Type: Article

References (31)

1. To Err Is Human: Building a Safer Health System. Kohn LT, Corrigan JM, Donaldson MS, Committee on Quality of Health Care in America. Institute of Medicine Washington, D.C: National Academy Press 2000
2. Incidence and types of adverse events and negligent care in Utah and Colorado. Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ, Howard KM, Weiler PC, Brennan TA, Med Care 2000 38 261 271 10.1097/00005650- 200003000-00003 10718351
3. Incidence of adverse events and negligence in hospitalized patients-Results of the Harvard Medical Practice Study I. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, Newhouse JP, Weiler PC, Hiatt HH, N Engl J Med 1991 324 370 376 10.1056/NEJM199102073240604 1987460
4. The economic consequences of medical injuries. Implications for a no-fault insurance plan. Johnson WG, Brennan TA, Newhouse JP, Leape LL, Lawthers AG, Hiatt HH, Weiler PC, JAMA 1992 267 2487 2492 10.1001/jama.1992. 03480180073032 1573726
5. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, Laffel G, Sweitzer BJ, Shea BF, Hallisey R, Vliet MV, Nemeskai R, Leape LL, ADE Prevention Study Group, JAMA 1995 274 29 34 10.1001/jama.1995. 03530010043033 7791255
6. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Seiden SC, Barach P, Arch Surg 2006 141 931 939 10.1001/archsurg.141.9.931 16983037 (Pubitemid 44414444)
7. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Bartlett G, Blais R, Tamblyn R, Clermont RJ, MacGibbon B, CMAJ 2008 178 1555 1562 10.1503/cmaj.070690 18519903 (Pubitemid 351860341)
8. Physician and coding errors in patient records. Lloyd SS, Rissing JP, JAMA 1985 254 1330 1336 10.1001/jama.1985.03360100080018 3927014 (Pubitemid 15236606)
9. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. Ash JS, Berg M, Coiera E, J Am Med Inform Assoc 2004 11 104 112 14633936 (Pubitemid 38327498)
10. -2009 Comprehensive Accreditation Manual for Hospitals: The Official Handbook: Joint Commission Resources. The Joint Commission, Oakbrook Terrace, IL 2009
11. TIMI, PURSUIT, and GRACE risk scores: sustained prognostic value and interaction with revascularization in NSTE-ACS. de Araújo Gonçalves P, Ferreira J, Aguiar C, Seabra-Gomes R, Eur Heart J 2005 26 865 872 10.1093/eurheartj/ehi187 15764619 (Pubitemid 40676566)
12. Prehospital delay in patients with acute coronary heart disease: concordance between patient interviews and medical records. Goldberg RJ, McGovern PG, Guggina T, Savageau J, Rosamond WD, Luepker RV, Am Heart J 1998 135 293 299 10.1016/S0002-8703(98)70096-1 9489979 (Pubitemid 28139171)
13. Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure. Okura Y, Urban LH, Mahoney DW, Jacobsen SJ, Rodeheffer RJ, J Clin Epidemiol 2004 57 1096 1103 10.1016/j.jclinepi.2004.04.005 15528061 (Pubitemid 39446649)
14. The effects of sleep deprivation on pain inhibition and spontaneous pain in women. Smith MT, Edwards RR, McCann UD, Haythornthwaite JA, Sleep 2007 30 494 505 17520794 (Pubitemid 46668707)
15. Sleep disorders and their association with laboratory pain sensitivity in temporomandibular joint disorder. Smith MT, Wickwire EM, Grace EG, Edwards RR, Buenaver LF, Peterson S, Klick B, Haythornthwaite JA, Sleep 2009 32 779 790 19544755
16. Mini-Mental State: A practical method for grading the state of patients for the clinician. Folstein MF, Folstein SE, McHugh PR, J Psychiatr Res 1975 12 189 198 10.1016/0022-3956(75)90026-6 1202204
17. A coefficient of agreement for nominal scales. Cohen J, Educ Psychol Meas 1960 20 37 46 10.1177/001316446002000104
18. Measurement of observer agreement. Kundel HL, Polansky M, Radiology 2003 228 303 308 10.1148/radiol.2282011860 12819342 (Pubitemid 36910064)
19. The measurement of observer agreement for categorical data. Landis JR, Koch GG, Biometrics 1977 33 159 174 10.2307/2529310 843571 (Pubitemid 8054849)
20. StataCorp. 2009. Stata Statistical Software: Release 11. College Station, TX: StataCorp LP
21. Concordance between comorbidity data from patient self-report interviews and medical record documentation. Corser W, Sikorskii A, Olomu A, Stommel M, Proden C, Holmes-Rovner M, BMC Health Serv Res 2008 8 85 10.1186/1472-6963-8-85 18416841 (Pubitemid 351592254)
22. Cardiovascular diseases and risk factors in a population-based study in The Netherlands: agreement between questionnaire information and medical records. Klungel OH, de Boer A, Paes AH, Seidell JC, Bakker A, Neth J Med 1999 55 177 183 10.1016/S0300-2977(99)00045-5 10555434 (Pubitemid 29438711)
23. Patient perception versus medical record entry of health-related conditions among patients with heart failure. Malik AS, Giamouzis G, Georgiopoulou VV, Fike LV, Kalogeropoulos AP, Norton CR, Sorescu D, Azim S, Laskar SR, Smith AL, Dunbar SB, Butler J, Am J Cardiol 2010 107 569 572 21185003
24. Memory for medical history: Accuracy of recall. Cohen G, Java R, Appl Cogn Psychol 1995 9 273 288 10.1002/acp.2350090402
25. Accuracy of patients' reports of comorbid disease and their association with mortality in ESRD. Cavanaugh KL, Merkin SS, Plantinga LC, Fink NE, Sadler JH, Powe NR, Am J Kidney Dis 2008 52 118 127 10.1053/j.ajkd.2008.02.001 18589216 (Pubitemid 351853255)
26. The TIMI risk scores for unstable angina/non-ST elevation MI. Antman EM, Cohen M, Bernink PJ, McCabe CH, Horacek T, Papuchis G, Mautner B, Corbalan R, Radley D, Braunwald E, JAMA 2000 284 835 842 10.1001/jama.284.7.835 10938172
27. Global Registry of Acute Coronary Events Investigators: Predictors of hospital mortality in the global registry of acute coronary events. Granger CB, Goldberg RJ, Dabbous O, Pieper KS, Eagle KA, Cannon CP, Van De Werf F, Avezum A, Goodman SG, Flather MD, Fox KA, Arch Intern Med 2003 163 2345 2353 10.1001/archinte.163.19.2345 14581255 (Pubitemid 37310196)
28. Predictors of outcome in patients with acute coronary syndromes without persistent ST-segment elevation. Results from an international trial of 9461 patients. Boersma E, Pieper KS, Steyerberg EW, Wilcox RG, Chang WC, Lee KL, Akkerhuis KM, Harrington RA, Deckers JW, Armstrong PW, Lincoff AM, Califf RM, Topol EJ, Simoons ML, Circulation 2000 101 2557 2567 10840005 (Pubitemid 30350632)
29. Best evidence topic report. Beta-Blockers in cocaine induced acute coronary syndrome. Sen A, Fairbairn T, Levy F, Emerg Med J 2006 23 401 402 16627850
30. Comparison of routine care self-reported and biometrical data on hypertension and diabetes: results of the Utrecht Health Project. Molenaar EA, Van Ameijden EJ, Grobbee DE, Numans ME, Eur J Public Health 2007 17 199 205 10.1093/eurpub/ckl113 16887835 (Pubitemid 46536736)
31. The agreement between self-reporting and clinical diagnosis for selected medical conditions among the elderly in Taiwan. Wu SC, Li CY, Ke DS, Public Health 2000 114 137 142 10800154 (Pubitemid 30206832)