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At least 811 records · Page 45Linked to original sources
PubMed1997

Quality of data regarding diagnoses of spinal disorders in administrative databases. A multicenter study.

The purpose of the present study was to evaluate the accuracy of data regarding diagnoses of spinal disorders in administrative databases at eight different institutions. The records of 189 patients who had been managed for a disorder of the lumbar spine were independently reviewed by a physician who assigned the appropriate diagnostic codes according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The age range of the 189 patients was seventeen to eighty-four years. The six major diagnostic categories studied were herniation of a lumbar disc, a previous operation on the lumbar spine, spinal stenosis, cauda equina syndrome, acquired spondylolisthesis, and congenital spondylolisthesis. The diagnostic codes assigned by the physician were compared with the codes that had been assigned during the ordinary course of events by personnel in the medical records department of each of the eight hospitals. The accuracy of coding was also compared among the eight hospitals, and it was found to vary depending on the diagnosis. Although there were both false-negative and false-positive codes at each institution, most errors were related to the low sensitivity of coding for previous spinal operations: only seventeen (28 per cent) of sixty-one such diagnoses were coded correctly. Other errors in coding were less frequent, but their implications for conclusions drawn from the information in administrative databases depend on the frequency of a diagnosis and its importance in an analysis. This study demonstrated that the accuracy of a diagnosis of a spinal disorder recorded in an administrative database varies according to the specific condition being evaluated. It is necessary to document the relative accuracy of specific ICD-9-CM diagnostic codes in order to improve the ability to validate the conclusions derived from investigations based on administrative databases.

Adult↗
PubMed1995

Evaluating nurse turnover: comparing attitude surveys and exit interviews.

High turnover rates among hospital nurses demand rigorous and valid processes of research to determine the reasons motivating such attrition. In most hospitals, the exit interview often provides the only relevant data. The case study reported here examines the relative effectiveness of exit interviews and an employee attitude survey in generating data that are useful in managing nurse retention. The conclusion reached is that the attitude survey generates more data and higher-quality data. Further, the study shows that the use of open-ended questions can provide useful information and probably should be the starting point in developing or supplementing an attitude survey for nurses. Recommendations for improving the usefulness and validity of nurse attitude surveys and exit interviews in managing nurse retention are provided.

Attitude of Health Personnel↗
PubMed1998

From airports to care centers. Transferring information technology to support patient care reengineering.

PROBLEM: To improve communication among caregivers about the status of patients under their care. SOLUTION: Replacing manual white boards with electronic bed boards/inpatient databases, similar to airport display technology. RESULTS: Improved data quality from having patient data displayed in a standardized manner across care centers. KEYS TO SUCCESS: "We used a process redesign team, which focused on specific issues related to the processes used in providing patient care."

Computer Communication Networks↗
PubMedDate not supplied

Well scrubbed. Look for quality of data, flexibility in a claims validation system.

Coding and compliance validation products complement practice management systems or claims clearinghouses. "Scrubber" systems help practices file accurate claims the first time, shortening the accounts-receivable cycle and reducing denials. By weighing the pros and cons of a scrubber system and learning how to evaluate one, you can acquire the right technology for your practice.

Accounts Payable and Receivable↗
PubMed2005

[Register of treated psychoactive drug addicts].

In the order to accomplish data collection for the Treated Psychoactive Drug Addicts Registry, the Drug Abuse Registration Program has been developed according to the adapted Council of Europe Pompidou group questionnaire. The main goals of the system are: introduction of a local database, implementation of standard data consistency control algorithm, personal data protection and connection to public health network. Paper forms are being gradually discarded. The procedure of registration proposed will improve data quality, increase promptness of data entry, and enable feedback from the central registry toward registration institutions. The introduction of the system will gradually modify the operation while strictly respecting personal data confidentiality.

Croatia↗
PubMed1990

Computers and diabetes therapy: key variables and quality of data for clinical decision-making.

Approaches to clinical decision-making in diabetes have undergone a revolution over the past decade. Since the introduction of reflectance meters and subsequently the addition of a micro chip to store glucose data, clinical decision-making by both the professional and person with diabetes has significantly changed. The memory-based reflectance meter made it possible to collect, aggregate and interpret self-monitored blood glucose values at a level of reliability and accuracy heretofore impossible to obtain. With the ability to collect self-monitored blood glucose values and transmit these data to micro computers has come the development of different approaches to the interpretation of these data. Innovations, such as the Ambulatory Glucose Profile and the Modal Day permit the expression of blood glucose values as dynamic entities. Using this means of representation, blood glucose over time can be thought of as a measure of change having such properties as variability and oscillation. By viewing blood glucose from this innovative perspective it may be possible to reexamine the relationship between insulin dose and glucose level and thereby improve clinical decision-making.

Blood Glucose↗
PubMed1989

Alberta Congenital Anomalies Surveillance System.

The Alberta Congenital Anomalies Surveillance System was started in 1966 in response to the thalidomide tragedy earlier in the decade. It was one of four provincial surveillance systems on which the federal government relied for baseline statistics of congenital anomalies. The government now collects data from six provinces and one territory. The Alberta Congenital Anomaly Surveillance System originally depended on three types of notification to the Division of Vital Statistics, Department of Health, Government of Alberta: birth notice and certificates of death and stillbirth; increased sources of ascertainment have greatly improved data quality. We present the data for 1980-86 and compare the prevalence rates of selected anomalies with the rates from three other surveillance systems. Surveillance systems do not guarantee that a new teratogen will be detected, but they are extremely valuable for testing hypotheses regarding causation. At the very least they provide baseline data with which to compare any deviation or trend. For many, if not most, congenital anomalies total prevention is not possible; however, surveillance systems can be used to measure progress in prevention.

Alberta↗