Researcher conducted a cohort study, reviewing the medical records of 21,775 patients who underwent surgical procedures at a university-based tertiary referral center from July 1, 2007, to August 31, 2017. They included patients whose cases were selected for review by a surgical clinical reviewer as part of the National Surgical Quality Improvement Program.
Researchers found the prevalence of postoperative complications was low, ranging from 0.2 percent to 2.6 percent. Use of CPOE events to detect patients who experienced at least one complication reported:
• Sensitivity of 74.8 percent
• Specificity of 86.8 percent
• Positive predictive value of 33.8 percent
• Negative predictive value of 97.5 percent
Researchers estimated using CPOE events to screen for postoperative complications diminished the burden of manual medical record review by 55.4 percent to 90.3 percent.
“A CPOE-based surveillance of postoperative complications has high negative predictive value, which demonstrates that this approach can augment the currently used, resource-intensive manual medical record review process,” study authors concluded.
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