Development and implementation of a high-quality clinical database: the Australian and New Zealand intensive care society adult patient database
Development and implementation of a high-quality clinical database: the Australian and New Zealand intensive care society adult patient database
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DOI：
10.1016/j.jcrc.2005.11.010
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发表时间：
2006-06-01
影响因子：
3.7
通讯作者：
Bellomo, Rinaldo
中科院分区：
文献类型：
--
作者：
Stow, Peter J.;Hart, Graeme K.;Bellomo, Rinaldo
目的：描述两国重症监护数据库的发展。设置：澳大利亚和新西兰的138个重症监护病房(ICU)。方法：开发一种结构，使ICU能够提交数据以供中央和地方分析。开发的报告允许与类似的ICU类型和已发表的死亡率预测模型进行比较。根据(A)临床数据库目录(DoCDat)的标准和(B)拟议的医疗登记数据质量保证框架对数据库进行评估。结果：从1987年1月至2003年12月，从167个澳大利亚ICU中的121个(72.5%)和新西兰27个ICU中的10个(37.0%)收集了444 147个数据集。2003年提交了60000多个重症监护室入院数据。住院总死亡率为14.5%。根据DoCDat标准达到的平均质量水平很高，相对于拟议的数据质量框架的绩效也很高。免费软件的提供对数据库的成功至关重要。结论：一个高质量的重症监护病房数据库已在澳大利亚和新西兰成功实施，现已被用作常规质量保证和同行审查工具。在其他国家，类似的发展可能也是可取的。(C)2006 Elsevier Inc.保留所有权利。
Objective: To describe the development of a binational intensive care database.Setting: One hundred thirty-eight intensive care units (ICUs) in Australia and New Zealand.Methods: A structure was developed to enable ICUs to submit data for central and local analysis. Reports were developed to allow comparison with similar ICU types and against published mortality prediction models. The database was evaluated according to (a) the criteria of the Directory of Clinical Databases (DoCDat) and (b) a proposed framework for data quality assurance in medical registries.Results: Between January 1987 and December 2003, 444 147 data sets were collected from 121 (72.5%) of 167 Australian and 10 (37.0%) of 27 New Zealand ICUs. Data sets from more than 60000 ICU admissions were submitted in 2003. Overall hospital mortality was 14.5%. The mean quality level achieved according to DoCDat criteria was high as was performance against a proposed framework for data quality. The provision of no-cost software has been vitally important to the success of the database.Conclusion: A high-quality ICU database has successfully been implemented in Australia and New Zealand and is now used as a routine quality assurance and peer review tool. Similar developments may be both possible and desirable in other countries. (C) 2006 Elsevier Inc. All rights reserved.