Abstract
BackgroundDigital health technologies (DHTs) generate a large volume of information used in health care for administrative, educational, research, and clinical purposes. The clinical use of digital information for diagnostic, therapeutic, and prognostic purposes has multiple patient safety problems, some of which result from poor information quality (IQ).ObjectiveThis systematic review aims to synthesize an IQ framework that could be used to evaluate the extent to which digital health information is fit for clinical purposes.MethodsThe review was conducted according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. We searched Embase, MEDLINE, PubMed, CINAHL, Maternity and Infant Care, PsycINFO, Global Health, ProQuest Dissertations and Theses Global, Scopus, and HMIC (the Health Management Information Consortium) from inception until October 2019. Multidimensional IQ frameworks for assessing DHTs used in the clinical context by health care professionals were included. A thematic synthesis approach was used to synthesize the Clinical Information Quality (CLIQ) framework for digital health.ResultsWe identified 10 existing IQ frameworks from which we developed the CLIQ framework for digital health with 13 unique dimensions: accessibility, completeness, portability, security, timeliness, accuracy, interpretability, plausibility, provenance, relevance, conformance, consistency, and maintainability, which were categorized into 3 meaningful categories: availability, informativeness, and usability.ConclusionsThis systematic review highlights the importance of the IQ of DHTs and its relevance to patient safety. The CLIQ framework for digital health will be useful in evaluating and conceptualizing IQ issues associated with digital health, thus forestalling potential patient safety problems.Trial RegistrationPROSPERO International Prospective Register of Systematic Reviews CRD42018097142; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=97142International Registered Report Identifier (IRRID)RR2-10.1136/bmjopen-2018-024722
Highlights
BackgroundDigital health—the use of digital technologies for health—is increasingly recognized as a major driver of quality in health care [1]
This systematic review highlights the importance of the information quality (IQ) of digital health technology electronic health records (EHRs) (DHT) and its relevance to patient safety
The Clinical Information Quality (CLIQ) framework for digital health will be useful in evaluating and conceptualizing IQ issues associated with digital health, forestalling potential patient safety problems
Summary
BackgroundDigital health—the use of digital technologies for health—is increasingly recognized as a major driver of quality in health care [1]. DHTs generate a copious amount of information used in health care for administrative, educational, research, and clinical purposes [4,5]. The clinical use of digital information for diagnostic, therapeutic, and prognostic purposes has multiple patient safety problems, including significant harms and death, some of which result from poor information quality (IQ) [6,7,8,9]. Dimensions relating to a specific context are traditionally integrated into a framework for evaluating IQ within the context [10,11]. Digital health technologies (DHTs) generate a large volume of information used in health care for administrative, educational, research, and clinical purposes. The clinical use of digital information for diagnostic, therapeutic, and prognostic purposes has multiple patient safety problems, some of which result from poor information quality (IQ)
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