PS1-26: Data Quality Issues/Checks While Building Virtual Data Warehouse Enrollment, Demographics, Provider and Utilization Tables from Scratch

Abstract

needed to have similar and merge-able data for multi-site projects. Data standards set by NAACCR are optimal for construction of this resource as they are designed to collect tumor data centrally from multiple data sources. The standards establish processes for data exchange and record layout in addition to coordinating input from sponsoring organizations, such as AJCC and NCI. NAACCR is also responsible for incorporating new items of interest as the data used to characterize cancers evolve. We describe how these changes were incorporated into the VDW-TR. Results: AJCC Collaborative Stage I (CS-1), applicable to cases diagnosed beginning with January 2004, brought many changes to data and data formats required for staging. These changes were not incorporated by the VDW tumor file in 2004 due to the lack of ownership and oversight. Discrepancies eventually developed between VDW data dictionary and NAACCR causing data value decay. ICDO-2 histology lists were expanded and recoded in ICDO-3, providing additional challenges, along with other rules-based changes in tumor classification. CS-1 also mandated addition of anatomic site specific factors. Many additional changes occurred in 2010 with CS-2. The specifications incorporated in our current VDW-TR address all of these data changes. Conclusion: The VDW has to adopt NAACCR changes as they are adapted to remain current with all standards. We are now sensitized to monitor and adjust for significant future changes in NAACCR.

A Novel Clinical Pharmacy Management System in Improving the Rational Drug Use in Department of General Surgery

“…Thus, the system has effectively reduced the review time of prescriptions (or medical orders) as well as improved the quality. [2021]…”