Effect of an Educational Intervention on the Accuracy of Data Submitted to a National Quality Registry.

Q4 Medicine
Connecticut Medicine Pub Date : 2017-04-01
Vinay Gulati, Ossama Elsaid, Matthew W Parker, Michael Thorns, Thea Ling, Steven Zweibel
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引用次数: 0

Abstract

Background: We hypothesize that data-entry errors within the National Cardiovascular Data Registry® (NCDR) ICD Registry™ may be an important reason behind labeling many cases as nonevidence-based.

Objective: To describethe frequency of data-entry errors in implantable cardioverter-defibrillator (lCD) implant data from our institution and develop a plan for quality improvement using the Deming cycle.

Methods and results: We assessed data of patient report forms from2007to 2010 and compared these data with forms submitted from 2011 to 2012 after implementation of a continuous multicomponent staff education and training program. Of 211 ICD implants between 2007 and 2010, 36 (17%) were labeled nonevidence-based. Twenty-four (11.4%) resulted from misclassification due to data entry errors and 12 (5.7%) were actual nonevidence-based. Postintervention, review of 97 submitted patients' data revealed one (1%) data-entry error and three (3.1%) actual nonevidence-based implants.

Conclusions: Multicomponent educational intervention was effective in reducing errors in data sub- mitted to the NCDR ICD Registry.

教育干预对提交给国家质量登记处的数据准确性的影响。
背景:我们假设,国家心血管数据登记®(NCDR) ICD登记™中的数据输入错误可能是将许多病例标记为非循证病例的重要原因。目的:描述我院植入式心律转复除颤器(lCD)植入式数据输入错误的频率,并利用戴明周期制定质量改进计划。方法和结果:我们评估了2007 - 2010年患者报告表格的数据,并将这些数据与2011 - 2012年实施持续多要素员工教育和培训计划后提交的表格进行了比较。在2007年至2010年间的211例ICD植入中,有36例(17%)被标记为无证据。24例(11.4%)是由于数据输入错误导致的误分类,12例(5.7%)是实际的非循证病例。干预后,对97例提交的患者数据进行审查,发现1例(1%)数据输入错误,3例(3.1%)实际的非循证植入物。结论:多成分教育干预在减少提交给NCDR ICD登记处的数据错误方面是有效的。
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来源期刊
Connecticut Medicine
Connecticut Medicine Medicine-Medicine (all)
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期刊介绍: The Connecticut State Medical Society (CSMS) is a federation of eight component county medical associations, with a total membership exceeding 7,000 physicians. CSMS itself is a constituent state entity of the American Medical Association. Founded by the physician-patriots of the American Revolution, the Society operates from a heritage of democratic principles embodied in its Charter and Bylaws. The base of all authority in CSMS is, of course, the individual physician member. It is the decisions of members in their own county associations that ultimately determine the nature of the Society"s policies and activities.
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