Patients Not Included in Medical Audit Have a Worse Outcome Than Those Included

Elfström, Johan; Stubberöd, A; Troëng, Thomas

doi:10.1093/intqhc/8.2.153

Cited by 56 publications

(39 citation statements)

References 6 publications

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“…107 It has also been suggested that missing cases tend not to be missing at random, with the worst outcome data often excluded. 177 For these reasons, registries are not able to answer all the pertinent questions relating to treatments but, in combination with well-conducted RCTs, are likely to provide the best evidence for making public health decisions.…”

Section: Registry Datamentioning

confidence: 99%

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

Brown

Powell²,

Thompson³

et al. 2012

Health Technol Assess

207

170

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How to obtain copies of this and other HTA programme reports An electronic version of this title, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable DVD is also available (see below).Printed copies of HTA journal series issues cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our despatch agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per issue and for the rest of the world £3 per issue. How to order:-fax (with credit card details) -post (with credit card details or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you to either print out your order or download a blank order form. Contact details are as follows:Synergie UK (HTA Department) Digital House, The Loddon Centre Wade Road Basingstoke Hants RG24 8QW Email: orders@hta.ac.uk Tel: 0845 812 4000 -ask for 'HTA Payment Services' (out-of-hours answer-phone service) Fax: 0845 812 4001 -put 'HTA Order' on the fax header Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to University of Southampton and drawn on a bank with a UK address.Paying by credit card You can order using your credit card by phone, fax or post. SubscriptionsNHS libraries can subscribe free of charge. Public libraries can subscribe at a reduced cost of £100 for each volume (normally comprising 40-50 titles). The commercial subscription rate is £400 per volume (addresses within the UK) and £600 per volume (addresses outside the UK). Please see our website for details. Subscriptions can be purchased only for the current or forthcoming volume.How do I get a copy of HTA on DVD?Please use the form on the HTA website (www.hta.ac.uk/htacd/index.shtml). HTA on DVD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeThe Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service' . The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects...

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Section: Registry Datamentioning

confidence: 99%

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

Brown

Powell²,

Thompson³

et al. 2012

Health Technol Assess

207

170

View full text Add to dashboard Cite

show abstract

“…The authors concluded that "Overall judgment of the performance of an individual department may be impaired by cases not included in the register." [ 4 ] The above example demonstrates the importance of verifying the completeness of data within a database. In addition to verifying the completeness of data within a database, it is imperative to verify the accuracy of the data.…”

Section: The Impact Of Missing or Inaccurate Datamentioning

confidence: 96%

“…Indeed, it is established that patients not included in a medical audit have higher rates of morbidity and mortality than those are included in the audit [ 4 ]:…”

Section: The Impact Of Missing or Inaccurate Datamentioning

confidence: 99%

Verification of Data Completeness and Accuracy

Overman

Clarke

2014

Pediatric and Congenital Cardiac Care

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Complete and accurate data is the backbone of any database. Rigorous, objective, and transparent verifi cation processes are vital to establishing and maintaining high quality data. In the absence of such processes, a database cannot be relied upon to properly inform database participants and users. Data about outcomes occupy an increasingly pivotal role in decisions that impact quality of care, professional reputation, reimbursement, and health care policy, to name a few. These developments underscore the importance of robust data verifi cation processes. Data verifi cation may be accomplished using several means, including on site visits and remote source document verifi cation. The emergence of central statistical verifi cation techniques using adaptive or triggered monitoring in real time is an important development. This approach to data verifi cation has the potential of signifi cantly improving both the volume and quality of verifi ed data as well as limiting the resource utilization impact on databases and their participants.Florence Nightingale is widely credited with being the fi rst person to advocate for the collection, analysis, and public reporting of surgical outcome data [ 1 ]. Complete and accurate data are fundamental to database quality and associated outcomes analysis. In the absence of complete and accurate data, the power of a database as an instrument of outcomes measurement and a platform for quality improvement is severely diminished.

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“…this also makes adequate research impossible and might mislead authorities in healthcare, politicians, and policy makers in decisions as well as in giving invalid information to the public (3,4). the aim of this study was to present a validation process, pursued over time, with regard to completeness, overall correctness, and correctness of rare adverse events for GallRiks concerning cholecystectomies.…”

Section: Introductionmentioning

confidence: 99%

Completeness and correctness of cholecystectomy data in a national register—gallriks

2014

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Background and Aims: to validate the swedish register for gallstone surgery and endoscopic retrograde Cholangiopancreatography (gallriks) concerning completeness and correctness of entered data for cholecystectomies and evaluating the effect of repeated audits. it is crucial for any register to obtain a high accuracy in order to be a credible and reliable source for quality evaluation, research, and development.Materials and Methods: Completeness was determined by cross-matching the register with the swedish national patient register. Completeness and overall correctness were assessed by comparing registered data to medical records. Correctness for rare occasions, such as bile duct injuries, was evaluated by comparing with claims sent to the swedish patient insurance.Results: of 64,538 cholecystectomies, 82.9% of the operations were registered in gallriks and the coverage increased over time. by random sample, 94,919 sets of data were available for comparison at the first and second audit and the entries were found to be correct in 97.2% and 98.2% cases, respectively. a 100% correctness for bile duct injuries (n = 40) was seen when the index-operation was registered in gallriks.Conclusion: gallriks demonstrates high completeness, high correctness of entered data, and no indications of failure to report serious adverse events. repeated audits increased the quality of registered data. gallriks may be used for clinical evaluation on local and national level and the database enables scientific studies to be performed.

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Patients Not Included in Medical Audit Have a Worse Outcome Than Those Included

Cited by 56 publications

References 6 publications

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

The UK EndoVascular Aneurysm Repair (EVAR) trials: randomised trials of EVAR versus standard therapy.

Verification of Data Completeness and Accuracy

Completeness and correctness of cholecystectomy data in a national register—gallriks

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