Limitations in the use of automated mental status detection for clinical decision support.

ABSTRACT:

Background

Clinical decision support (CDS) tools improve adherence to evidence-based practices but are dependent upon data quality in the electronic health record (EHR). Mental status is an integral component of many risk stratification scores, but it is not known whether EHR-measures of altered mental status are reliable. The Glasgow Coma Scale (GCS) is a measure of altered mentation that is widely adopted and entered in the EHR in structured format. We sought to determine the accuracy GCS < 15 as an EHR-measure of altered mentation compared to ED provider documentation.

Methods

In patients presenting to an academic Emergency Department (ED) with pneumonia we abstracted GCS values entered by nurses during routine care and in a randomly selected subset manually reviewed prov

SUBMITTER: Wrenn JO 

PROVIDER: S-EPMC12822685 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature