Availability and usability of data for medical practice assessment.
Availability and usability of data for medical practice assessment.
复制标题
医疗实践评估数据的可用性和可用性。
DOI：
10.1093/oxfordjournals.intqhc.a002599
复制
发表时间：
2002
期刊：
影响因子：
--
通讯作者：
J. Zwetsloot
中科院分区：
文献类型：
--
作者：
H. Prins;F. Kruisinga;H. Büller;J. Zwetsloot
OBJECTIVE
We analyzed availability and usability of the electronic patient data required for assessment of medical practice for a specific patient group.
DESIGN
Case study in which physicians defined performance indicators and additional exploratory information. Data availability in the hospital information system was determined. Data usability was evaluated based on reason for recording, administrative procedures, and comparison with paper data.
SETTING
A 155 bed pediatric department in a public academic medical center.
STUDY PARTICIPANTS
Pediatricians and children with suspected meningitis.
MAIN OUTCOME MEASURES
Availability and usability of electronic patient data. Usability criteria were standardization, completeness, and accuracy.
RESULTS
A total of 14 performance indicators were defined. Of 39 data items required for indicator quantification, 29 were available, and 19 were usable without manual handling. Completeness and accuracy of the registration of reason for admission and discharge diagnoses were insufficient, leading to problematic patient selection and complication detection. Time-points of patient events were inaccurate or not available. Data regarding outpatient diagnosis, signs and symptoms, indications for test ordering, and medication administration were missing. Test result reports were not adequately standardized. Based on electronic patient data, five out of 14 performance indicators could be quantified reliably, but only after patient selection problems were overcome. For exploratory information, 16 out of 25 required data items were available and 13 were usable.
CONCLUSIONS
Availability and usability of electronic patient data are insufficient for physician-led and detailed assessment of medical practice for specific patient groups. Extended registration of the reason for admission will improve patient selection and assessment of diagnostic process.
