Lessons learned in applying the International Society for Pharmacoeconomics and Outcomes Research methodology to translating Canadian Emergency Department Information System Presenting Complaints List into German

Brammen, Dominik; Greiner, Felix; Dormann, Harald; Mach, Carsten; Wrede, Christian; Ballaschk, A.; Stewart, Declan; Walker, Steven; Oesterling, Christine; Kulla, Martin

doi:10.1097/mej.0000000000000450

Cited by 21 publications

(16 citation statements)

References 13 publications

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“…The process was lengthy and required language skills and nursing knowledge. Similar experiences have been described by other authors (Brammen et al, 2018;Goggin et al, 2010). The limited agreement between Translators A and B reinforces the importance of using more than one forward translator.…”

Section: Discussionsupporting

confidence: 90%

“…To support translational accuracy, the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) has developed guidelines for the translation and linguistic validation of instruments (Wild et al, 2005). The guidelines have been used in many countries, e.g., Germany (Brammen et al, 2018), South Africa (Goggin et al, 2010), and Finland (Pudas-Tähkä et al, 2014). Similarly, the World Health Organization (WHO) stresses the importance of obtaining a translated version that is culturally equivalent to the original instrument (WHO, 2018).…”

Section: Translating Foreign Instruments Into Local Languagesmentioning

confidence: 99%

“…To achieve this aim, various qualitative and quantitative methods should be used (Wild et al, 2009). Qualitative methods such as discussions, observations of users, questionnaires, and cognitive interviews enable developers to resolve any discrepancies between individual preliminary translations (Goggin et al, 2010), detect any difficulties in using the translated instrument (Ploughman et al, 2010), and elicit users' feedback (Brammen et al, 2018;Goggin et al, 2010;Piault et al, 2012;Ploughman et al, 2010). Quantitative methods may include various rating scales, as well as the item content validity index (I-CVI) and modified kappa statistics (Hsiung et al, 2016;Liu et al, 2011;Pudas-Tähkä et al, 2014).…”

Section: Translating Foreign Instruments Into Local Languagesmentioning

confidence: 99%

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The translation and linguistic validation of the Revised Iowa Pain Thermometer into Czech for a clinical study involving Czech stroke patients

Mandysová¹,

Herr²

2019

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Aim: Patients with a stroke could benefit from vertical self-report pain instruments. Such instruments are not available in the Czech language. The aim was to translate and linguistically validate the Revised Iowa Pain Thermometer into Czech for use by Czech patients with a stroke. Methods: Three translators, three nursing expert panels, and seven patients with a stroke participated in this methodological study that took place between January and April 2017. The International Society for Pharmacoeconomics and Outcomes Research guidelines were used to direct the process. This 10-phase process was supported by quantitative and qualitative methods, such as content validity indexing and modified kappa calculations, discussions with nursing experts, as well as cognitive debriefing with patients. Results: Based on the content validity index, the modified kappa values, and the experts' feedback, a preliminary Czech version was developed. Cognitive debriefing revealed that most patients had some difficulty using the instrument. Conclusions: The translation and linguistic validation process was demanding as it was difficult to recruit nurses and translators meeting the determined selection criteria; furthermore, many steps were required. However, using a less stringent methodology would have probably produced a Czech version that would not be as suitable for the intended target group -Czech patients with a stroke. The findings underscore the importance of involving representative users, i.e., patients with a specific health condition, in the translation and linguistic validation of self-report instruments. Psychometric properties of the Czech version will be established in a clinical study that will involve Czech patients with strokes.

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Section: Discussionsupporting

confidence: 90%

Section: Translating Foreign Instruments Into Local Languagesmentioning

confidence: 99%

Section: Translating Foreign Instruments Into Local Languagesmentioning

confidence: 99%

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The translation and linguistic validation of the Revised Iowa Pain Thermometer into Czech for a clinical study involving Czech stroke patients

Mandysová¹,

Herr²

2019

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“…For structural documentation of presenting complaints, we integrated the German translation of the Canadian Emergency Department Information System (CEDIS) list, which contains 169 items and 2 special presenting problems [11, 12], as it was required by the AKTIN project. The items of the translated CEDIS list were grouped in 17 categories for a faster approach similar to the original layout [13]. This enables the structural analysis of treatment cases relating to a specific presenting complaint and benchmarking of the ED [14].…”

Section: Methodsmentioning

confidence: 99%

The way from pen and paper to electronic documentation in a German emergency department

Lucas

Schladitz

Schirrmeister

et al. 2019

BMC Health Serv Res

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Background Some of the advantages of implementing electronic emergency department information systems (EDIS) are improvements in data availability and simplification of statistical evaluations of emergency department (ED) treatments. However, for multi-center evaluations, standardized documentation is necessary. The AKTIN project (“National Emergency Department Register: Improvement of Health Services Research in Acute Medicine in Germany”) has used the “German Emergency Department Medical Record” (GEDMR) published by the German Interdisciplinary Association of Intensive and Emergency Care as the documentation standard for its national data registry. Methods Until March 2016 the documentation standard in ED was the pen-and-paper version of the GEDMR. In April 2016 we implemented the GEDMR in a timeline-based EDIS. Related to this, we compared the availability of structured treatment information of traumatological patients between pen-and-paper-based and electronic documentation, with special focus on the treatment time. Results All 796 data fields of the 6 modules (basic data, severe trauma, patient surveillance, anesthesia, council, neurology) were adapted for use with the existing EDIS configuration by a physician working regularly in the ED. Electronic implementation increased availability of structured anamnesis and treatment information. However, treatment time was increased in electronic documentation both immediately (2:12 ± 0:04 h; n = 2907) and 6 months after implementation (2:18 ± 0:03 h; n = 4778) compared to the pen-and-paper group (1:43 ± 0:02 h; n = 2523; p < 0.001). Conclusions We successfully implemented standardized documentation in an EDIS. The availability of structured treatment information was improved, but treatment time was also increased. Thus, further work is necessary to improve input time.

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“…Vorstellungsgründen und der Stufe der Ersteinschätzung (Triage) ließe sich im Gegensatz zu diagnosebasierten Methoden die ex-ante Sicht der klinischen Realität abbilden. Gleichzeitig beeinflussen diese Parameter bei ambulanten Notaufnahmefällen die Kosten [44]. Mit dem CE-DIS-Katalog für Vorstellungsgründe liegt eine international gültige Symptomklassifikation vor, welche bereits im AKTIN-Notaufnahmeregister genutzt wird [16,45,46].…”

Section: Diskussion Und Ausblickunclassified

Routinedaten aus Notaufnahmen: Unterschiedliche Dokumentationsanforderungen, Abrechnungsmodalitäten und Datenhalter bei identischem Ort der Leistungserbringung

et al. 2019

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Zusammenfassung Hintergrund Nicht nur im Kontext der Neuordnung der Notfallversorgung in Deutschland besteht derzeit ein hoher Bedarf an Daten aus Notaufnahmen. Für die Versorgungsforschung bieten sich Daten an, welche auf gesetzlicher Grundlage generiert werden. Unterschiedliche Kostenträger und Abrechnungsmodi stellen eigene Anforderungen an die Dokumentation dieser Routinedaten. Methodische Herausforderungen Aufgrund der sektoralen Trennung gibt es keinen Datensatz oder Datenhalter, der Auskunft über alle Notaufnahmebehandlungen geben kann. Aus administrativer Sicht gilt die gesamte Notaufnahmebehandlung als ambulant oder stationär, tatsächlich wird die Entscheidung darüber erst während der Versorgung getroffen. Für die stationäre Versorgung existiert ein administratives Notfallkennzeichen, allerdings kein direktes Merkmal für Notaufnahmebehandlungen. Bei Abrechnung ambulanter Fälle über die kassenärztlichen Vereinigungen ist mindestens eine Diagnose (ICD-10-Kode) zu erfassen, versehen mit einem Kennzeichen zur Diagnosesicherheit. Es können mehrere ICD-10-Kodes ohne Hierarchie angegeben werden. Bei stationär behandelten Patienten ist eine Aufnahmediagnose und nach Behandlungsende die Hauptdiagnose und ggf. Nebendiagose(n) an die zuständige Krankenkasse zu übermitteln. Die gesetzliche Unfallversicherung hat eigene Dokumentationsanforderungen. Lösungsansätze Je nach Forschungsfrage und Studiendesign sind unterschiedliche Vorgehensweisen erforderlich. Stammen die Daten unmittelbar aus Notaufnahmen bzw. Kliniken ist eine Information über den Kostenträger und den Abrechnungsmodus hilfreich. Bei Nutzung von Krankenkassendaten muss die Identifikation von stationär behandelten Patienten in einer Notaufnahme aktuell indirekt erfolgen. Dazu können unter anderem die Parameter Aufnahmegrund und definierte „eindeutige“ Notfall-Diagnosen herangezogen werden. Die fallpauschalenbezogene Krankenhausstatistik hat eigene Limitationen, enthält dafür aber die stationären Fälle aller Kostenträger. Diskussion Die divergierenden Anforderungen an die administrative Dokumentation verursachen einen hohen Aufwand in den Kliniken. Perspektivisch ist eine Vereinheitlichung der Leistungserfassung und Dokumentation von Notfallbehandlungen aller Kostenarten auch zur Generierung von validen, vergleichbaren und repräsentativen Daten für die Versorgungsforschung erstrebenswert. Die Einführung eines eigenen Fachabteilungsschlüssels würde zur Identifikation von Notaufnahmebehandlungen beitragen.

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Lessons learned in applying the International Society for Pharmacoeconomics and Outcomes Research methodology to translating Canadian Emergency Department Information System Presenting Complaints List into German

Abstract: Supplemental Digital Content is available in the text.

Cited by 21 publications

References 13 publications

The translation and linguistic validation of the Revised Iowa Pain Thermometer into Czech for a clinical study involving Czech stroke patients

The translation and linguistic validation of the Revised Iowa Pain Thermometer into Czech for a clinical study involving Czech stroke patients

The way from pen and paper to electronic documentation in a German emergency department

Routinedaten aus Notaufnahmen: Unterschiedliche Dokumentationsanforderungen, Abrechnungsmodalitäten und Datenhalter bei identischem Ort der Leistungserbringung

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