Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior
Authors
Arias, Sarah A.Boudreaux, Edwin D
Chen, Elizabeth
Miller, Ivan
Camargo, Carlos A. Jr.
Jones, Richard N.
Uebelacker, Lisa
UMass Chan Affiliations
Department of Emergency MedicineDocument Type
Journal ArticlePublication Date
2019-06-11Keywords
suicideelectronic health records
chart review
emergency department
Emergency Medicine
Health Information Technology
Health Services Administration
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
In an emergency department (ED) sample, we investigated the concordance between identification of suicide-related visits through standardized comprehensive chart review versus a subset of 3 specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses. The method for this study was review of medical records for adults ( > /=18 years) at 8 EDs across the United States. A total of 3,776 charts were reviewed. A combination of the 3 chart elements (ICD-9-CM, presenting complaints, and discharge diagnoses) provided the most robust data with 85% sensitivity, 96% specificity, 92% PPV, and 92% NPV. These findings highlight the use of key discrete fields in the medical record that can be extracted to facilitate identification of whether an ED visit was suicide-related.Source
Arias SA, Boudreaux ED, Chen E, Miller I, Camargo CA Jr, Jones RN, Uebelacker L. Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior? Arch Suicide Res. 2019 Jul-Sep;23(3):382-390. doi: 10.1080/13811118.2018.1472691. Epub 2019 Jun 11. PMID: 29791300; PMCID: PMC6320303. Link to article on publisher's site
DOI
10.1080/13811118.2018.1472691Permanent Link to this Item
http://hdl.handle.net/20.500.14038/29572PubMed ID
29791300Related Resources
ae974a485f413a2113503eed53cd6c53
10.1080/13811118.2018.1472691