THE ACCURACY OF RETROSPECTIVE CHART REVIEW IN MEASURING NOSOCOMIAL INFECTION-RATES - RESULTS OF VALIDATION STUDIES IN PILOT HOSPITALS
THE ACCURACY OF RETROSPECTIVE CHART REVIEW IN MEASURING NOSOCOMIAL INFECTION-RATES - RESULTS OF VALIDATION STUDIES IN PILOT HOSPITALS
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DOI：
10.1093/oxfordjournals.aje.a112931
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发表时间：
1980-01-01
影响因子：
5
通讯作者：
SHACHTMAN, RH
中科院分区：
文献类型：
--
作者：
HALEY, RW;SCHABERG, DR;SHACHTMAN, RH
衡量一种标准化方法的准确性和一致性。为了估计单个医院的医院感染率（NIR），我们在4家不同类型的医院进行了一系列的试点研究。与基于医师流行病学家监督密集前瞻性数据收集小组所作诊断的标准相比，RCR方法的平均灵敏度为0.74（±）。0.02 SE;范围0.69-0.78)，平均特异性为0.964(.+-。0.002;0.945 - -0.991)。这些数值与内科流行病学家的诊断结果相当，不同医院之间的差异较小。两个独立的图表审稿人团队具有相似的敏感性和特异性水平，单个图表审稿人水平的诊断可靠性平均为0.94。在实际医疗记录调查的中点对1家试点医院进行的重新研究中，由于在最初的试点研究之后改进了RCR方法，灵敏度大幅提高，特异性略有提高。
To measure the accuracy and consistency of a standardized method.sbd.retrospective chart review (RCR).sbd.for estimating nosocomial infection rates (NIR) in individual hospitals, a series of pilot studies was performed in 4 hospitals of different types. In comparison with a standard based on diagnoses made by physician-epidemiologists supervising intensive prospective data collection teams, the RCR method had an average sensitivity of 0.74 (.+-. 0.02 SE; range 0.69-0.78) and an average specificity of 0.964 (.+-. 0.002; 0.945-0.991). These values were comparable to those of the physician-epidemiologists'' diagnoses and varied less among the hospitals. Two independent teams of chart reviewers had similar levels of sensitivity and specificity and the reliability of diagnosis at the level of the individual chart reviewer averaged 0.94. In a restudy at 1 pilot hospital at the midpoint of the actual Medical Records Survey, there was a substantial increase in sensitivity and a slight increase in specificity due to improvements made in the RCR method after the original pilot studies.