1. Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior?
- Author
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Arias, Sarah A., Boudreaux, Edwin D., Chen, Elizabeth, Miller, Ivan, Camargo, Carlos A., Jones, Richard N., Uebelacker, Lisa, and Camargo, Carlos A Jr
- Subjects
HOSPITAL emergency services ,SUICIDAL ideation ,SUICIDAL behavior ,ELECTRONIC health records ,U.S. states - Abstract
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. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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