Trauma registry data validation: Essential for quality trauma care.

BACKGROUND: The main function of a trauma registry is to assess quality assurance and performance improvement (QA/PI) in an individual institution. Nonvalidated registry data may produce unreliable reports and QA/PI information. This study examines the types of data entry errors in a trauma registry...

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Publicado en:Journal of Trauma Vol. 61; no. 6; pp. 1400 - 1408
Autores principales: Hlaing T, Hollister L, Aaland M
Formato: research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins 2006 Dec
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2006 Dec
      vid: 61
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/01.ta.0000195732.64475.87
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        atl: Trauma registry data validation: Essential for quality trauma care.
      aug:
        au:
          Hlaing T
          Hollister L
          Aaland M
        affil: thein.hlaing@parkview.com
      sug:
        subj:
          Registries, Trauma
          Trauma Centers
          Wounds and Injuries Epidemiology
          Bias (Research)
          Coding
          Medical Records
          Quality Assurance
          Quality Control (Technology)
          Reproducibility of Results
          Human
      ab: BACKGROUND: The main function of a trauma registry is to assess quality assurance and performance improvement (QA/PI) in an individual institution. Nonvalidated registry data may produce unreliable reports and QA/PI information. This study examines the types of data entry errors in a trauma registry database; the effect of errors on time variable estimates, case ascertainment and statistical measurement; dynamics of error occurrence; and data validation (DV) scheme for a trauma registry. METHODS: Query and cross-tabulation techniques were used to expose a variety of data entry errors. Conceptual aspect for each type of error in DV, especially with respect to QA/PI, is given. RESULTS: Findings of different errors are provided: out-of-range time values; false positive and false negative errors; errors of commission and omission; duplication errors; errors in demographics; and errors because of inconsistent and incongruent coding. Error rates were less than 3% in commonly occurring data, such as scene time, demographics, hospital discharge and transportation, and greater in less commonly occurring but important data, such as thoracic aorta injury (9.5%) and audit filter for admit Glasgow Coma Scale in emergency department (55.6%). Dynamics of error occurrence that can prevent or minimize errors is described. The main features of a data validation scheme are displayed. CONCLUSIONS: Errors in a trauma registry database cause invalid frequencies, rates, time estimates and statistical measures and affect QA/PI in trauma care. Every functioning trauma registry should develop an on-going program for DV.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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