Development of a Data Abstraction Form: Getting What You Need From the Electronic Health Record

The electronic health record (EHR) serves a variety of purposes for the health care provider, including documentation of care; ensuring communication, safety, and quality of care; legal documentation; and research- and evidence-based practice. The Agency for Healthcare Research and Quality (2016) notes that the EHR has been effective in transforming the quality, safety, and efficiency of care delivery in health care. In our previous work, we noted that much of the focus of the EHR is on data entry by the health care provider; however, data can also be abstracted for the purposes of research and quality improvement (Spratling & Powers, 2015).

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