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Developing a Framework for Data Quality Assurance in Electronic Health Record (EHR) Systems in Healthcare Institutions
Subject area: Science,Engineering and Technology · Area of research: Data Quality Assurance
Abstract
The accuracy, completeness, and reliability of Electronic Health Records (EHRs) are foundational to delivering safe, effective, and coordinated healthcare. As digital health infrastructures evolve, challenges related to inconsistent data entry, fragmented systems, and variable institutional standards have heightened the need for robust data quality assurance (DQA) frameworks. This paper proposes a comprehensive, multidimensional framework designed to ensure data integrity in EHR systems across healthcare institutions. The framework integrates technical, organizational, and governance dimensions of data quality and aligns with global standards such as HL7, ISO/TS 18308, and the WHO?s data quality review guidelines. Employing a mixed-methods approach incorporating a systematic review of 105 peer-reviewed sources (2010?2020), expert interviews, and case analysis across 15 hospitals?the study identifies core quality indicators (e.g., timeliness, validity, consistency), evaluates the impact of poor-quality EHRs on clinical outcomes, and validates the proposed model using simulation data. Key findings indicate a 37% improvement in diagnostic accuracy and a 25% reduction in duplicate testing when the framework is applied. This study contributes to the informatics and public health literature by presenting a scalable, standards-driven model applicable in both high-resource and low-resource healthcare settings. The framework also provides actionable strategies for policymakers, health IT vendors, and clinical data stewards seeking to strengthen EHR performance and health system interoperability.
Keywords
Data Accuracy, Data Completeness, Health Interoperability, EHR Governance, Clinical Informatics, Health Compliance
References
[1] M. Thomas, Evaluating Electronic Health Records Interoperability Symbiotic Relationship to Information Management Governance Security Risks. 2019. Accessed: Jun. 05, 2025. [Online]. Available: https://search.proquest.com/openview/19b1d2 89dc52f8ed896a62bdf4e568b7/1?pq- origsite=gscholar&cbl=18750&diss=y
[2] S. MULUKUNTLA, “Interoperability in Electronic Medical Records: Challenges and Solutions for Seamless Healthcare Delivery,” International Journal of Medical and Health Science, vol. 1, no. 1, pp. 31–38, Jan. 2015, 10.53555/EIJMHS.V1I1.214.
[3] M. Boada et al., “Patient Engagement: The Fundació ACE Framework for Improving Recruitment and Retention in Alzheimer’s Disease Research,” Journal of Alzheimer’s Disease, vol. 62, no. 3, pp. 1079–1090, 2018,
[4] M. Staroselsky et al., “Improving electronic health record (EHR) accuracy and increasing compliance with health maintenance clinical guidelines through patient access and input,” Int J Med Inform, vol. 75, no. 10–11, pp. 693– 700, Oct. 2006, 10.1016/J.IJMEDINF.2005.10.004.
[5] N. G. Weiskopf and C. Weng, “Methods and dimensions of electronic health record data quality assessment: Enabling reuse for clinical research,” Journal of the American Medical Informatics Association, vol. 20, no. 1, pp. 144–151, 2013, 000681.
[6] G. O. Osho, “Decentralized Autonomous Organizations (DAOs): A Conceptual Model for Community-Owned Banking and Financial Governance,” Unknown Journal, 2020.
[7] G. O. Osho, “Building Scalable Blockchain Applications: A Framework for Leveraging Solidity and AWS Lambda in Real-World Asset Tokenization,” Unknown Journal, 2020.
[8] D. Whicher, M. Ahmed, S. Siddiqi, I. Adams, C. Grossmann, and K. Carman, “HEALTH DATA SHARING TO SUPPORT BETTER OUTCOMES BUILDING A FOUNDATION OF STAKEHOLDER TRUST A D EMY O PREPUBLICATION COPY -Uncorrected Proofs,” 2020.
[9] E. Pernot-Leplay, “EU Influence on Data Privacy Laws: Is the US Approach Converging with the EU Model?,” Colorado Technology Law Journal, vol. 18, 2020, Accessed: Jun. 05, 2025. [Online]. Available: https://heinonline.org/HOL/Page?handle=hein .journals/jtelhtel18&id=39&div=&collection=
[10] M. J. Ball and J. Lillis, “E-health: Transforming the physician/patient relationship,” Int J Med Inform, vol. 61, no. 1, pp. 1–10, 2001, 5056(00)00130-1.
[11] S. M. Boyne, “Data Protection in the United States,” American Journal of Comparative Law, vol. 66, pp. 299–343, Jul. 2018, 10.1093/AJCL/AVY016.
[12] S. Rosenbaum, “Data governance and stewardship: Designing data stewardship entities and advancing data access,” Health Serv Res, vol. 45, no. 5 PART 2, pp. 1442– 1455, Oct. 2010, 6773.2010.01140.X.
[13] O. E. Akpe, J. C. Ogeawuchi, A. A. Abayomi, O. A. Agboola, and E. Ogbuefi, “A Conceptual Framework for Strategic Business Planning in Digitally Transformed Organizations,” Iconic Research and Engineering Journals, vol. 4, no. 4, pp. 207–222, 2020, [Online]. Available: https:///paper- details/1708525
[14] A. C. Mgbame, O. E. Akpe, A. A. Abayomi, E. Ogbuefi, and O. O. Adeyelu, “Barriers and Enablers of BI Tool Implementation in Underserved SME Communities,” Iconic Research and Engineering Journals, vol. 3, no. 7, pp. 211–226, 2020, [Online]. Available: https:///paper- details/1708221
[15] K. McCracken and D. R. Phillips, “Global health: An introduction to current and future trends: Second edition,” Global Health: An Introduction to Current and Future Trends: Second Edition, pp. 1–437, Jun. 2017, 10.4324/9781315691800/GLOBAL- HEALTH-KEVIN-MCCRACKEN-DAVID- PHILLIPS.
[16] D. J. Friedman, R. G. Parrish, and D. A. Ross, “Electronic health records and US public health: Current realities and future promise,” Am J Public Health, vol. 103, no. 9, pp. 1560– 1567, Sep. 2013, 10.2105/AJPH.2013.301220.
[17] T. P. Gbenle, J. C. Ogeawuchi, A. A. Abayomi, O. A. Agboola, and A. C. Uzoka, “Advances in Cloud Infrastructure Deployment Using AWS Services for Small and Medium Enterprises,” Iconic Research and Engineering Journals, vol. 3, no. 11, pp. 365–381, 2020, [Online]. Available: https:///paper- details/1708522
[18] B. I. Ashiedu, E. Ogbuefi, S. Nwabekee, J. C. Ogeawuchi, and A. A. Abayomi, “Developing Financial Due Diligence Frameworks for Mergers and Acquisitions in Emerging Telecom Markets,” Iconic Research and Engineering Journals, vol. 4, no. 1, pp. 183– 196, 2020, [Online]. Available: https:///paper- details/1708562
[19] L. Stilwell et al., “Electronic Health Record Tools to Identify Child Maltreatment: Scoping Literature Review and Key Informant Interviews,” Acad Pediatr, vol. 22, no. 5, pp. 718–728, Jul. 2022, 10.1016/j.acap.2022.01.017.
[20] C. A. Mgbame, O. E. Akpe, A. A. Abayomi, E. Ogbuefi, and O. O. Adeyelu, “Barriers and Enablers of Healthcare Analytics Tool Implementation in Underserved Healthcare Communities,” Healthcare Analytics, vol. 45, no. 45 SP 45–45, 2020, [Online]. Available: https:///paper- details/1708221
[21] G. O. Osho, J. O. Omisola, and J. O. Shiyanbola, “A Conceptual Framework for AI- Driven Predictive Optimization in Industrial Engineering: Leveraging Machine Learning for Smart Manufacturing Decisions,” Unknown Journal, 2020.
[22] S. Shea, W. DuMouchel, and L. Bahamonde, “A Meta-analysis of 16 Randomized Controlled Trials to Evaluate Computer-based Clinical Reminder Systems for Preventive Care in the Ambulatory Setting,” Emerg Infect Dis, vol. 3, no. 6, pp. 399–409, 1996, 10.1136/JAMIA.1996.97084513.
[23] B. I. Ashiedu, E. Ogbuefi, U. S. Nwabekee, J. C. Ogeawuchi, and A. A. Abayomi, “Developing Financial Due Diligence Frameworks for Mergers and Acquisitions in Emerging Telecom Markets,” Iconic Research And Engineering Journals, vol. 4, no. 1, pp. 183–196, 2020, [Online]. Available: https:///paper- details/1708562
[24] S. Ekberg, “Are opportunities and threats enough? A development of the labels of strategic issues,” J Media Bus Stud, vol. 17, no. 1, pp. 13–32, Jan. 2020, 10.1080/16522354.2019.1651046.
[25] I. E. Agbehadji, B. O. Awuzie, A. B. Ngowi, and R. C. Millham, “Review of big data analytics, artificial intelligence and nature- inspired computing models towards accurate detection of COVID-19 pandemic cases and contact tracing,” Int J Environ Res Public Health, vol. 17, no. 15, pp. 1–16, Aug. 2020,
[26] L. V. Grossman, R. M. Masterson Creber, N. C. Benda, D. Wright, D. K. Vawdrey, and J. S. Ancker, “Interventions to increase patient portal use in vulnerable populations: A systematic review,” Journal of the American Medical Informatics Association, vol. 26, no. 8–9, pp. 855–870, Apr. 2019, 10.1093/JAMIA/OCZ023.
[27] C. A. McGinn et al., “Comparison of user groups’ perspectives of barriers and facilitators to implementing electronic health records: A systematic review,” BMC Med, vol. 9, Apr. 2011,
[28] E. Landfeldt, P. Lindgren, M. Guglieri, H. Lochmüller, and K. Bushby, “Compliance to care guidelines for Duchenne muscular dystrophy in Italy,” Neuromuscular Disorders, vol. 28, no. 1, p. 100, Jan. 2018, 10.1016/j.nmd.2016.09.018.
[29] J. Luck, J. W. Peabody, and B. L. Lewis, “An automated scoring algorithm for computerized clinical vignettes: Evaluating physician performance against explicit quality criteria,” Int J Med Inform, vol. 75, no. 10–11, pp. 701– 707, Oct. 2006, 10.1016/j.ijmedinf.2005.10.005.
[30] S. Ray and K. Valdovinos, “Student ability, confidence, and attitudes toward incorporating a computer into a patient interview,” Am J Pharm Educ, vol. 79, no. 4, 2015, 10.5688/ajpe79456.
[31] G. O. Osho, J. O. Omisola, and J. O. Shiyanbola, “An Integrated AI-Power BI Model for Real-Time Supply Chain Visibility and Forecasting: A Data-Intelligence Approach to Operational Excellence,” Unknown Journal, 2020.
[32] E. V. Klinger et al., “Accuracy of Race, Ethnicity, and Language Preference in an Electronic Health Record,” J Gen Intern Med, vol. 30, no. 6, pp. 719–723, Jun. 2015, 10.1007/S11606-014-3102-8.
[33] A. De Waal, “Governance implications of epidemic disease in Africa: updating the agenda for COVID-19,” Apr. 2020, Accessed: May 28, 2025. [Online]. Available: http://www.lse.ac.uk/international- development/conflict-and-civil- society/conflict-research- programme/publications
[34] A. Auraaen, K. Saar, N. K.-O. H. Working, and undefined 2020, “System governance towards improved patient safety: key functions, approaches and pathways to implementation,” search.proquest.com, Accessed: Jun. 05, 2025. [Online]. Available: https://search.proquest.com/openview/5104f6 1a86e92429b8b5e8358e71de55/1?pq- origsite=gscholar&cbl=54484
[35] S. Bonomi, “The electronic health record: A comparison of some European countries,” Lecture Notes in Information Systems and Organisation, vol. 15, pp. 33–50, 2016, 10.1007/978-3-319-28907-6_3.
[36] K. Badu et al., “Africa’s response to the COVID-19 pandemic: A review of the nature of the virus, impacts and implications for preparedness,” AAS Open Res, vol. 3, p. 19, May 2020,
[37] N. Terry, “Existential challenges for healthcare data protection in the United States,” Ethics Med Public Health, vol. 3, no. 1, pp. 19–27, Jan. 2017,
[38] C. Huang, R. Koppel, J. D. McGreevey, C. K. Craven, and R. Schreiber, “Transitions from One Electronic Health Record to Another: Challenges, Pitfalls, and Recommendations,” Appl Clin Inform, vol. 11, no. 5, pp. 742–754, Oct. 2020, 1718535/ID/JR200112RA-44/BIB.
[39] A. Gettinger and A. Csatari, “Transitioning from a legacy EHR to a commercial, vendor- supplied, EHR: One academic health system’s experience,” Appl Clin Inform, vol. 3, no. 4, pp. 367–376, 2012, 0014.
[40] J. C. Mandel, D. A. Kreda, K. D. Mandl, I. S. Kohane, and R. B. Ramoni, “SMART on FHIR: A standards-based, interoperable apps platform for electronic health records,” Journal of the American Medical Informatics Association, vol. 23, no. 5, pp. 899–908, Sep. 2016,
[41] N. Yuan, R. A. Dudley, W. J. Boscardin, and G. A. Lin, “Electronic health records systems and hospital clinical performance: A study of nationwide hospital data,” Journal of the American Medical Informatics Association, vol. 26, no. 10, pp. 999–1009, Jun. 2019, 10.1093/JAMIA/OCZ092.
[42] J. O. Omisola, J. O. Shiyanbola, and G. O. Osho, “A Systems-Based Framework for ISO 9000 Compliance: Applying Statistical Quality Control and Continuous Improvement Tools in US Manufacturing,” Unknown Journal, 2020.
[43] J. O. Omisola, J. O. Shiyanbola, and G. O. Osho, “A Predictive Quality Assurance Model Using Lean Six Sigma: Integrating FMEA, SPC, and Root Cause Analysis for Zero-Defect Production Systems,” Unknown Journal, 2020.
[44] Iyiola Oladehinde Olaseni, “Digital Twin and BIM synergy for predictive maintenance in smart building engineering systems development,” World Journal of Advanced Research and Reviews, vol. 8, no. 2, pp. 406– 421, Nov. 2020, 10.30574/wjarr.2020.8.2.0409.
[45] H. Tardieu, D. Daly, J. Esteban-Lauzán, J. Hall, and G. Miller, “Deliberately Digital,” 2020,
[46] O. E. Akpe, J. C. Ogeawuchi, A. A. Abayomi, O. A. Agboola, and E. Ogbuefi, “A Conceptual Framework for Strategic Business Planning in Digitally Transformed Organizations,” Iconic Research And Engineering Journals, vol. 4, no. 4, pp. 207–222, 2020, [Online]. Available: https:///paper- details/1708525
[47] T. P. Gbenle, J. C. Ogeawuchi, A. A. Abayomi, O. A. Agboola, and A. C. Uzoka, “Advances in Cloud Infrastructure Deployment Using AWS Services for Small and Medium Enterprises,” Iconic Research And Engineering Journals, vol. 3, no. 11, pp. 365–381, 2020, [Online]. Available: https:///paper- details/1708522
[48] E. G. Castillo, M. Olfson, H. A. Pincus, D. Vawdrey, and T. S. Stroup, “Electronic health records in mental health research: A framework for developing valid research methods,” Psychiatric Services, vol. 66, no. 2, pp. 193– 196, Feb. 2015, 10.1176/APPI.PS.201400200;ISSUE:ISSUE:1 0.1176/PS.2015.66.ISSUE- 2;JOURNAL:JOURNAL:PS;WGROUP:STRI NG:PUBLICATION.
[49] V. Saini, D. Pal, and S. R.-J. of A. I. Research, “Data Quality Assurance Strategies In Interoperable Health Systems,” researchgate.net, Accessed: Jun. 05, 2025. [Online]. Available: https://www.researchgate.net/profile/Dheeraj- Kumar- Pal/publication/390931351_Data_Quality_Ass urance_Strategies_In_Interoperable_Health_S ystems/links/6802f59edf0e3f544f42c826/Data -Quality-Assurance-Strategies-In- Interoperable-Health-Systems.pdf
[50] I. Eaton and M. McNett, “Protecting the data: Security and privacy,” Data for Nurses: Understanding and Using Data to Optimize Care Delivery in Hospitals and Health Systems, pp. 87–99, Jan. 2019, 10.1016/B978-0-12-816543-0.00006-6.
[51] W. N. Price and I. G. Cohen, “Privacy in the age of medical big data,” Nat Med, vol. 25, no. 1, pp. 37–43, Jan. 2019, 018-0272-7.
[52] C. Allen et al., “Data Governance and Data Sharing Agreements for Community-Wide Health Information Exchange: Lessons from the Beacon Communities,” EGEMS, vol. 2, no. 1, p. 1057, Apr. 2014, 9214.1057.
[53] J. A. Braverman and J. S. Blumenthal-Barby, “Assessment of the sunk-cost effect in clinical decision-making,” Soc Sci Med, vol. 75, no. 1, pp. 186–192, Jul. 2012, 10.1016/J.SOCSCIMED.2012.03.006.
[54] P. A. Deverka et al., “A new framework for patient engagement in cancer clinical trials cooperative group studies,” J Natl Cancer Inst, vol. 110, no. 6, pp. 553–559, Jun. 2018, 10.1093/JNCI/DJY064.
[55] A. Pollock, B. S. George, M. Fenton, S. Crowe, and L. Firkins, “Development of a new model to engage patients and clinicians in setting research priorities,” J Health Serv Res Policy, vol. 19, no. 1, pp. 12–18, Jan. 2014, 10.1177/1355819613500665.
[56] A. C. Mgbame, O. E. Akpe, A. A. Abayomi, E. Ogbuefi, and O. O. Adeyelu, “Barriers and enablers of BI tool implementation in underserved SME communities,” Iconic Research and Engineering Journals, vol. 3, no. 7, pp. 211–220, 2020, [Online]. Available: https:///paper- details/1708221
[57] J. O. Omisola, E. A. Etukudoh, O. K. Okenwa, and G. I. Tokunbo, “Geosteering Real-Time Geosteering Optimization Using Deep Learning Algorithms Integration of Deep Reinforcement Learning in Real-time Well Trajectory Adjustment to Maximize,” Unknown Journal, 2020.
[58] J. O. Omisola, E. A. Etukudoh, O. K. Okenwa, G. I. T. Olugbemi, and E. Ogu, “Geomechanical Modeling for Safe and Efficient Horizontal Well Placement Analysis of Stress Distribution and Rock Mechanics to Optimize Well Placement and Minimize Drilling,” Unknown Journal, 2020.
[59] J. O. Omisola, E. A. Etukudoh, O. K. Okenwa, and G. I. Tokunbo, “Innovating Project Delivery and Piping Design for Sustainability in the Oil and Gas Industry: A Conceptual Framework,” Perception, vol. 24, pp. 28–35, 2020.
[60] F. Halper, “Advanced Analytics: Moving Toward AI, Machine Learning, and Natural Language Processing BEST PRACTICES REPORT,” 2017.
[61] J. D. D’Amore et al., “Are meaningful use stage 2 certified EHRs ready for interoperability? Findings from the SMART C- CDA collaborative,” Journal of the American Medical Informatics Association, vol. 21, no. 6, pp. 1060 –1068, 2014, 10.1136/AMIAJNL-2014-002883.
[62] K. Whalen, E. Lynch, I. Moawad, T. John, D. Lozowski, and B. M. Cummings, “Transition to a new electronic health record and pediatric medication safety: Lessons learned in pediatrics within a large academic health system,” Journal of the American Medical Informatics Association, vol. 25, no. 7, pp. 848–854, Jul. 2018, 10.1093/JAMIA/OCY034.
[63] C. Huang, R. Koppel, J. D. McGreevey, C. K. Craven, and R. Schreiber, “Transitions from One Electronic Health Record to Another: Challenges, Pitfalls, and Recommendations,” Appl Clin Inform, vol. 11, no. 05, pp. 742–754, Oct. 2020,
[64] R. H. Epstein, F. Dexter, and E. S. Schwenk, “Provider Access to Legacy Electronic Anesthesia Records Following Implementation of an Electronic Health Record System,” J Med Syst, vol. 43, no. 5, May 2019, 10.1007/S10916-019-1232-6.
[65] T. Greenhalgh, S. Thorne, and K. Malterud, “Time to challenge the spurious hierarchy of systematic over narrative reviews?,” Eur J Clin Invest, vol. 48, no. 6, Jun. 2018, 10.1111/ECI.12931.
[66] “Existential challenges for healthcare data protection in the United States - ScienceDirect.” Accessed: Jun. 05, 2025. [Online]. Available: https://www.sciencedirect.com/science/article/ pii/S2352552517300099
[67] B. Bévière-Boyer, “Intimacy in health: Definition, protection and projection,” Ethics Med Public Health, vol. 3, no. 1, pp. 28–36, Jan. 2017,
[68] R. Musesengwa, M. J. Chimbari, and S. Mukaratirwa, “A Framework for Community and Stakeholder Engagement: Experiences From a Multicenter Study in Southern Africa,” Journal of Empirical Research on Human Research Ethics, vol. 13, no. 4, pp. 323–332, Oct. 2018,
[69] A. Geissbuhler et al., “Trustworthy reuse of health data: A transnational perspective,” Int J Med Inform, vol. 82, no. 1, pp. 1–9, Jan. 2013,
[70] H. T. O. Davies and R. Mannion, “Will prescriptions for cultural change improve the NHS?,” Br Med J, vol. 346, no. 7900, Mar. 2013,
[71] R. Pandya-Wood, D. S. Barron, and J. Elliott, “A framework for public involvement at the design stage of NHS health and social care research: Time to develop ethically conscious standards,” Res Involv Engagem, vol. 3, no. 1, Apr. 2017,
[72] J. Boote, R. Barber, and C. Cooper, “Principles and indicators of successful consumer involvement in NHS research: Results of a Delphi study and subgroup analysis,” Health Policy (New York), vol. 75, no. 3, pp. 280–297, Feb. 2006, 10.1016/J.HEALTHPOL.2005.03.012.
[73] T. Kemp et al., “Exploring the research culture in the health information management profession in Australia,” Health Info Libr J, vol. 37, no. 1, pp. 60–69, Mar. 2020, 10.1111/HIR.12281.
[74] P. Hay, K. Wilton, J. Barker, J. Mortley, and M. Cumerlato, “The importance of clinical documentation improvement for Australian hospitals,” Health Information Management Journal, vol. 49, no. 1, pp. 69–73, Jan. 2020,
[75] C. L. Miller et al., “Integrating consumer engagement in health and medical research - an Australian framework,” Health Res Policy Syst, vol. 15, no. 1, Feb. 2017, 017-0171-2.
[76] L. E. Penrod, “Electronic Health Record Transition Considerations,” PM and R, vol. 9, no. 5, pp. S13–S18, May 2017, 10.1016/J.PMRJ.2017.01.009.
[77] E. R. Pfoh, E. Abramson, S. Zandieh, A. Edwards, and R. Kaushal, “Satisfaction after the transition between electronic health record systems at six ambulatory practices,” J Eval Clin Pract, vol. 18, no. 6, pp. 1133–1139, Dec. 2012, 2753.2011.01756.X.
[78] E. L. Abramson et al., “Physician experiences transitioning between an older versus newer electronic health record for electronic prescribing,” Int J Med Inform, vol. 81, no. 8, pp. 539–548, Aug. 2012, 10.1016/J.IJMEDINF.2012.02.010.
[79] F. M. Behlen, R. E. Sayre, J. B. Weldy, and J. S. Michael, “`Permanent’ records: Experience with data migration in radiology information system and picture archiving and communication system replacement,” J Digit Imaging, vol. 13, no. 2 SUPPL. 1, pp. 171–174, 2000,
[80] S. O. Zandieh, E. L. Abramson, E. R. Pfoh, K. Yoon-Flannery, A. Edwards, and R. Kaushal, “Transitioning between ambulatory EHRs: A study of practitioners’ perspectives,” Journal of the American Medical Informatics Association, vol. 19, no. 3, pp. 401–406, May 2012,
[81] S. Bornstein, “An integrated EHR at Northern California Kaiser Permanente: Pitfalls, challenges, and benefits experienced in transitioning,” Appl Clin Inform, vol. 3, no. 3, pp. 318–325, 2012, 03-RA-0006.
[82] R. Schreiber and L. Garber, “Data Migration: A Thorny Issue in Electronic Health Record Transitions—Case Studies and Review of the Literature,” ACI open, vol. 04, no. 01, pp. e48– e58, Jan. 2020,
[83] D. McEvoy, M. L. Barnett, D. F. Sittig, S. Aaron, A. Mehrotra, and A. Wright, “Changes in hospital bond ratings after the transition to a new electronic health record,” Journal of the American Medical Informatics Association, vol. 25, no. 5, pp. 572–574, May 2018, 10.1093/JAMIA/OCY007.
[84] J. J. Saleem and J. Herout, “Transitioning from one electronic health record (ehr) to another: A narrative literature review,” Proceedings of the Human Factors and Ergonomics Society, vol. 1, pp. 489 –493, 2018, 10.1177/1541931218621112.
[85] R. Koppel, “Great promises of healthcare information technology deliver less,” Healthcare Information Management Systems: Cases, Strategies, and Solutions: Fourth Edition, pp. 101–125, Sep. 2015, 10.1007/978-3-319-20765-0_6.
[86] A. Al-Shammari, R. Zhou, M. Naseriparsaa, and C. Liu, “An effective density-based clustering and dynamic maintenance framework for evolving medical data streams,” Int J Med Inform, vol. 126, pp. 176–186, Jun. 2019,
[87] L. Rajabion, A. A. Shaltooki, M. Taghikhah, A. Ghasemi, and A. Badfar, “Healthcare big data processing mechanisms: The role of cloud computing,” Int J Inf Manage, vol. 49, pp. 271– 289, Dec. 2019, 10.1016/j.ijinfomgt.2019.05.017.
[88] E. Morrow, F. Ross, P. Grocott, and J. Bennett, “A model and measure for quality service user involvement in health research,” Int J Consum Stud, vol. 34, no. 5, pp. 532–539, 2010, 10.1111/J.1470-6431.2010.00901.X.
[89] B. Middleton et al., “Enhancing patient safety and quality of care by improving the usability of electronic health record systems: Recommendations from AMIA,” Journal of the American Medical Informatics Association, vol. 20, no. E1, 2013, 2012-001458.
[90] “Data Quality: Dimensions, Measurement, Strategy, Management, and Governance - Rupa Mahanti - Google Books.” Accessed: May 12, 2025. [Online]. Available: https://books.google.co.za/books?hl=en&lr=& id=THeSDwAAQBAJ&oi=fnd&pg=PA1976 &dq=%E2%80%A2%09Data+Quality:+Inco mplete+or+inconsistent+data+can+undermine +reliability,+with+60%25+of+organizations+ citing+data+quality+as+a+barrier+&ots=0wn 1PDGine&sig=JqZLZWixFYSvwD72K2eiQr Hxaeo&redir_esc=y#v=onepage&q&f=false
[91] “Data Governance and Data Sharing Agreements for Community-Wide Health Information Exchange: Lessons from the Beacon Communities - PMC.” Accessed: Jun. 05, 2025. [Online]. Available: https://pmc.ncbi.nlm.nih.gov/articles/PMC437 1395/
[92] J. Capitano, K. L. McAlpine, and J. H. Greenhaus, “Organizational influences on work–home boundary permeability: A multidimensional perspective,” Research in Personnel and Human Resources Management, vol. 37, pp. 133–172, 2019, 10.1108/S0742- 730120190000037005/FULL/HTML.
[93] M. Holmlund et al., “Customer experience management in the age of big data analytics: A strategic framework,” J Bus Res, vol. 116, pp. 356–365, Aug. 2020, 10.1016/J.JBUSRES.2020.01.022.
[94] P. C. Murschetz, A. Omidi, J. J. Oliver, M. Kamali Saraji, and S. Javed, “Dynamic capabilities in media management research. A literature review,” Journal of Strategy and Management, vol. 13, no. 2, pp. 278–296, Apr. 2020, 0010/FULL/PDF.
[95] K. T. Adams et al., “An analysis of patient safety incident reports associated with electronic health record interoperability,” thieme-connect.com, vol. 8, no. 2, pp. 593–602, 2017,
[96] F. A. Satti, T. Ali, J. Hussain, W. A. Khan, A. M. Khattak, and S. Lee, “Ubiquitous Health Profile (UHPr): a big data curation platform for supporting health data interoperability,” Computing, vol. 102, no. 11, pp. 2409–2444, Nov. 2020, 2/FIGURES/8.
[97] F. Reza, J. T. Prieto, and S. P. Julien, “Electronic Health Records: Origination, Adoption, and Progression,” pp. 183–201, 2020,
[98] P. Coorevits et al., “Electronic health records: new opportunities for clinical research,” J Int Med, vol. 274, no. 6, pp. 547–560, Dec. 2013,
[99] A. Sheikh, A. Jha, K. Cresswell, F. Greaves, and D. W. Bates, “Adoption of electronic health records in UK hospitals: Lessons from the USA,” The Lancet, vol. 384, no. 9937, pp. 8–9, 2014, 6736(14)61099-0.
[100] L. Kapiriri and P. Chanda-Kapata, “The quest for a framework for sustainable and institutionalised priority-setting for health research in a low-resource setting: The case of Zambia,” Health Res Policy Syst, vol. 16, no. 1, Feb. 2018,
[101] S. Oliver, K. Liabo, R. Stewart, and R. Rees, “Public involvement in research: Making sense of the diversity,” J Health Serv Res Policy, vol. 20, no. 1, pp. 45–51, Jan. 2015, 10.1177/1355819614551848.
[102] M. Popovic et al., “Discrepancies in physician– patient agreement in reporting ocular history,” Canadian Journal of Ophthalmology, vol. 51, no. 5, pp. 378–381, Oct. 2016, 10.1016/j.jcjo.2016.03.011.
[103] J. B. Fowles and J. P. Weiner, “Electronic Health Records and the Reliability and Validity of Quality Measures: A Review of the Literature,” Medical Care Research and Review, vol. 67, no. 5, pp. 503–527, 2010, 10.1177/1077558709359007.
[104] E. M. Bednar et al., “Disseminating universal genetic testing to a diverse, indigent patient population at a county hospital gynecologic oncology clinic,” Gynecol Oncol, vol. 152, no. 2, pp. 328–333, Feb. 2019, 10.1016/j.ygyno.2018.12.001.
[105] J. S. Schwartz, C. E. Lewis, C. Clancy, M. S. Kinosian, M. H. Radany, and J. P. Koplan, “Internists’ Practices in Health Promotion and Disease Prevention,” Ann Intern Med, vol. 114, no. 1, pp. 46–53, Jan. 1991, 4819-114-1-46.
[106] M. Peleg, “Computer-interpretable clinical guidelines: A methodological review,” J Biomed Inform, vol. 46, no. 4, pp. 744–763, Aug. 2013,
How to cite this paper
@article{1709252,
author = {Damilola Oluyemi Merotiwon, Opeyemi Olamide Akintimehin, Opeoluwa Oluwanifemi Akomolafe},
title = {Developing a Framework for Data Quality Assurance in Electronic Health Record (EHR) Systems in Healthcare Institutions},
journal = {Iconic Research And Engineering Journals},
year = {2020},
volume = {3},
number = {12},
pages = {335-349},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1709252.pdf},
abstract = {The accuracy, completeness, and reliability of Electronic Health Records (EHRs) are foundational to delivering safe, effective, and coordinated healthcare. As digital health infrastructures evolve, challenges related to inconsistent data entry, fragmented systems, and variable institutional standards have heightened the need for robust data quality assurance (DQA) frameworks. This paper proposes a comprehensive, multidimensional framework designed to ensure data integrity in EHR systems across healthcare institutions. The framework integrates technical, organizational, and governance dimensions of data quality and aligns with global standards such as HL7, ISO/TS 18308, and the WHO?s data quality review guidelines. Employing a mixed-methods approach incorporating a systematic review of 105 peer-reviewed sources (2010?2020), expert interviews, and case analysis across 15 hospitals?the study identifies core quality indicators (e.g., timeliness, validity, consistency), evaluates the impact of poor-quality EHRs on clinical outcomes, and validates the proposed model using simulation data. Key findings indicate a 37% improvement in diagnostic accuracy and a 25% reduction in duplicate testing when the framework is applied. This study contributes to the informatics and public health literature by presenting a scalable, standards-driven model applicable in both high-resource and low-resource healthcare settings. The framework also provides actionable strategies for policymakers, health IT vendors, and clinical data stewards seeking to strengthen EHR performance and health system interoperability.},
keywords = {Data Accuracy, Data Completeness, Health Interoperability, EHR Governance, Clinical Informatics, Health Compliance},
month = {June},
}