Data Elements in Algorithm | CART-EP-reviewed cardiac device procedures (n = 2102) | PPV (True flagged ‘yes abx’/All flagged ‘yes abx’) | NPV (True flagged ‘no abx’/All flagged ‘no abx’) | Sensitivity (All flagged ‘yes abx’/Total ‘yes abx’ n = 2056) | Specificity (All flagged ‘no abx’/Total ‘no abx’, n = 46) |
---|---|---|---|---|---|
Manual review | 2056 (97.8%) | – | – | – | – |
Text note searches | 1954 (93.0%) | 1930/1954 (98.8%) | 22/148 (14.9%) | 1930 (93.9%) | 22 (47.8%) |
Orders | 1899 (90.3%) | 1883/1889 (99.2%) | 30/203 (14.8%) | 1883 (91.6%) | 30 (65.3%) |
Administration | 150 (7.14%) | 150/150 (100%) | 46/1952 (2.36%) | 150 (7.30%) | 46 (100%) |
Text note searches + Orders | 2048 (97.4%) | 2019/2048 (98.6%) | 17/54 (31.5%) | 2019 (98.2%) | 17 (37.0%) |
Text note searches + Administration | 1955 (93.0%) | 1931/1955 (98.8%) | 22/147 (15.0%) | 1931 (93.9%) | 22 (47.8%) |
Orders + Administration | 1901 (90.4%) | 1885/1901 (91.7%) | 30/201 (14.9%) | 1885 (91.7%) | 30 (65.2%) |
Text note searches + Orders + Administration | 2048 (97.4%) | 2019/2048 (98.6%) | 17/54 (31.5%) | 2019 (98.2%) | 17 (37.0%) |
Round 2 Changes | |||||
Text note searches - Exclude oral medications | 1950 (92.8%) | 1928/1950 (98.9%) | 24/152 (15.8%) | 1928 (93.8%) | 24 (52.2%) |
Limit list to common prophylaxis medications | 2044 (97.2%) | 2017/2044 (98.7%) | 19/58 (32.8%) | 2017 (98.1%) | 19 (41.3%) |
Exclude notes from the day of the procedure | 823 (39.1%) | 823/825 (99.8%) | 44/1277 (2.09%) | 823 (40.0%) | 44 (95.7%) |
Include term “prophylaxis” in text searches | 2048 (97.4%) | 2019/2048 (98.6%) | 17/54 (31.5%) | 2019 (98.2%) | 17 (37.0%) |