Safety, quality & education

Discovery of data quality issues in electronic health records: profound consequences for critical care medicine applications – a systematized review

Crit CarePublished Systematized review

Authors' conclusion

Data quality issues in critical care EHRs create cascading effects that compromise ML model reliability, clinical decision-making, and patient safety.

Study context

Population
Studies of EHR data quality issues in critical care settingsstudies selected
Participants
29 studies
Outcome
EHR data quality issues in critical care and their impact on machine learning (ML) model performance and patient safety
Methodological detailsexpert-based questions, 281 relevant studies identified, Searched MEDLINE, Embase, IEEE Xplore, ACM Digital Library, CINAHL, Google Scholar, DBLP, Web of Science, Cochrane Library
  • Expert-based questions
  • 281 relevant studies identified
  • Searched MEDLINE, Embase, IEEE Xplore, ACM Digital Library, CINAHL, Google Scholar, DBLP, Web of Science, Cochrane Library

Main finding

As reported in the abstract

Missing data rates for some variables
>80%
Predictive features that were missingness indicators rather than actual values
40%
EHR-related medication errors among all ICU medication errors (one-third with life-threatening potential)
34%
Copy-paste prevalence in residents' progress notes
82%
Sepsis detection model AUC drop at external validation
0.76 to 0.63
Vital sign quality degrading at % of average LOS
60-75%

Original publication

Discovery of data quality issues in electronic health records: profound consequences for critical care medicine applications – a systematized review. Crit Care. Published 8 January 2026. doi:10.1186/s13054-025-05677-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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