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Errors, Omissions, ...
Errors, Omissions, and Offenses in the Health Record of Mental Health Care Patients : Results from a Nationwide Survey in Sweden
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- Bärkås, Annika (author)
- Uppsala universitet,E-hälsa och hälsodata,Hälsovetenskap och e-hälsa
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- Kharko, Anna (author)
- Uppsala universitet,E-hälsa och hälsodata,Hälsovetenskap och e-hälsa
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- Blease, Charlotte (author)
- Uppsala universitet,E-hälsa och hälsodata,Hälsovetenskap och e-hälsa
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- Cajander, Åsa, Professor, 1971- (author)
- Uppsala universitet,Bildanalys och människa-datorinteraktion,Datavetenskapens didaktik,Avdelningen Vi3,Institutionen för informatik och media
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- Johansen Fagerlund, Asbjorn (author)
- Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway
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- Huvila, Isto, Professor, 1976- (author)
- Uppsala universitet,Institutionen för ABM
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- Johansen, Monika Alise (author)
- Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway ; Department of Clinical Medicine, Telemedicine and E-health Research Group, Arctic University of Norway, Tromsø, Norway
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- Kane, Bridget (author)
- Karlstads universitet,Handelshögskolan (from 2013),Business School, Karlstad University, Sweden
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- Kujala, Sari (author)
- Department of Computer Science, Aalto University, Espoo, Finland
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- Moll, Jonas, 1982- (author)
- Örebro universitet,Handelshögskolan vid Örebro Universitet,Centre for Empirical Research on Information Systems, School of Business, Örebro University, Sweden,Örebro University, Sweden
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- Rexhepi, Hanife, 1984- (author)
- Högskolan i Skövde,Institutionen för informationsteknologi,Forskningsmiljön Informationsteknologi,Informationssystem, Information Systems,School of Informatics, University of Skövde, Skövde, Sweden
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- Scandurra, Isabella, 1973- (author)
- Uppsala universitet,Örebro universitet,Handelshögskolan vid Örebro Universitet,Centre for Empirical Research on Information Systems, School of Business, Örebro University, Sweden,Örebro University, Sweden,Institutionen för medicinska vetenskaper,Bildanalys och människa-datorinteraktion
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- Wang, Bo (author)
- Norwegian Centre for E-Health Research, University Hospital of North Norway, Tromsø, Norway
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- Hägglund, Maria, Lektor, 1975- (author)
- Uppsala universitet,Hälsovetenskap och e-hälsa
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(creator_code:org_t)
- JMIR Publications, 2023
- 2023
- English.
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In: Journal of Medical Internet Research. - : JMIR Publications. - 1438-8871. ; 25
- Related links:
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https://doi.org/10.2...
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https://his.diva-por... (primary) (Raw object)
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https://www.jmir.org...
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http://www.ncbi.nlm....
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https://urn.kb.se/re...
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https://doi.org/10.2...
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https://urn.kb.se/re...
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Abstract
Subject headings
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- BACKGROUND: Previous research reports that patients with mental health conditions experience benefits, for example, increased empowerment and validation, from reading their patient-accessible electronic health records (PAEHRs). In mental health care (MHC), PAEHRs remain controversial, as health care professionals are concerned that patients may feel worried or offended by the content of the notes. Moreover, existing research has focused on specific mental health diagnoses, excluding the larger PAEHR userbase with experience in MHC. OBJECTIVE: The objective of this study is to establish if and how the experiences of patients with and those without MHC differ in using their PAEHRs by (1) comparing patient characteristics and differences in using the national patient portal between the 2 groups and (2) establishing group differences in the prevalence of negative experiences, for example, rates of errors, omissions, and offenses between the 2 groups. METHODS: Our analysis was performed on data from an online patient survey distributed through the Swedish national patient portal as part of our international research project, NORDeHEALTH. The respondents were patient users of the national patient portal 1177, aged 15 years or older, and categorized either as those with MHC experience or with any other health care experience (nonmental health care [non-MHC]). Patient characteristics such as gender, age, education, employment, and health status were gathered. Portal use characteristics included frequency of access, encouragement to read the record, and instances of positive and negative experiences. Negative experiences were further explored through rates of error, omission, and offense. The data were summarized through descriptive statistics. Group differences were analyzed through Pearson chi-square. RESULTS: Of the total sample (N=12,334), MHC respondents (n=3131) experienced errors (1586/3131, 50.65%, and non-MHC 3311/9203, 35.98%), omissions (1089/3131, 34.78%, and non-MHC 2427/9203, 26.37%) and offenses (1183/3131, 37.78%, and non-MHC 1616/9203, 17.56%) in the electronic health record at a higher rate than non-MHC respondents (n=9203). Respondents reported that the identified error (MHC 795/3131, 50.13%, and non-MHC 1366/9203, 41.26%) and omission (MHC 622/3131, 57.12%, and non-MHC 1329/9203, 54.76%) were "very important," but most did nothing to correct them (MHC 792/3131, 41.29%, and non-MHC 1838/9203, 42.17%). Most of the respondents identified as women in both groups. CONCLUSIONS: About 1 in 2 MHC patients identified an error in the record, and about 1 in 3 identified an omission, both at a much higher rate than in the non-MHC group. Patients with MHC also felt offended by the content of the notes more commonly (1 in 3 vs 1 in 6). These findings validate some of the worries expressed by health care professionals about providing patients with MHC with PAEHRs and highlight challenges with the documentation quality in the records.
Subject headings
- NATURVETENSKAP -- Data- och informationsvetenskap -- Datavetenskap (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Computer Sciences (hsv//eng)
- NATURVETENSKAP -- Data- och informationsvetenskap -- Systemvetenskap, informationssystem och informatik (hsv//swe)
- NATURAL SCIENCES -- Computer and Information Sciences -- Information Systems (hsv//eng)
- SAMHÄLLSVETENSKAP -- Medie- och kommunikationsvetenskap -- Systemvetenskap, informationssystem och informatik med samhällsvetenskaplig inriktning (hsv//swe)
- SOCIAL SCIENCES -- Media and Communications -- Information Systems, Social aspects (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- EHR
- electronic health records
- mental health
- mental health care
- national survey
- online records access
- open notes
- ORA
- PAEHR
- patient-accessible electronic health record
- patients
- user experiences
- adolescent
- article
- documentation
- education
- electronic health record
- employment
- encouragement
- female
- gender
- health status
- health survey
- human
- major clinical study
- male
- prevalence
- Sweden
- Information Systems
- Informationssystem (IS)
- Information Systems
- Medical Informatics
Publication and Content Type
- ref (subject category)
- art (subject category)
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To the university's database
- By the author/editor
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Bärkås, Annika
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Kharko, Anna
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Blease, Charlott ...
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Cajander, Åsa, P ...
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Johansen Fagerlu ...
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Huvila, Isto, Pr ...
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Johansen, Monika ...
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Kane, Bridget
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Kujala, Sari
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Moll, Jonas, 198 ...
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Rexhepi, Hanife, ...
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Scandurra, Isabe ...
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Wang, Bo
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Hägglund, Maria, ...
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- About the subject
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- NATURAL SCIENCES
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NATURAL SCIENCES
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and Computer and Inf ...
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and Computer Science ...
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- NATURAL SCIENCES
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NATURAL SCIENCES
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and Computer and Inf ...
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and Information Syst ...
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Media and Commun ...
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and Information Syst ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Health Care Serv ...
- Articles in the publication
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Journal of Medic ...
- By the university
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University of Skövde
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Örebro University
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Karlstad University
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Uppsala University