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Error rates in a clinical data repository: lessons from the transition to electronic data transfer--a descriptive
Matthew K H Hong1, Henry H I Yao, John S Pedersen
1Division of Urology, Department of Surgery, University of Melbourne, Royal Melbourne Hospital and the Australian Prostate Cancer Research Centre Epworth, Melbourne, Victoria, Australia.
Manually entered prostate cancer pathology data showed a 2.8% error rate, with text fields being more error-prone. Electronic checking of source data is feasible for improving data quality.
Area of Science:
- Urology
- Pathology informatics
- Data quality management
Background:
- Clinical datasets are prone to data errors, potentially confounding analyses.
- Manual data transcription is common in pathology, raising concerns about accuracy.
Purpose of the Study:
- To assess the reliability of manually transcribed pathology data in a prostate cancer database.
- To quantify error rates in manually entered data compared to electronically imported data.
- To evaluate the feasibility of electronic checking for source data errors.
Main Methods:
- A descriptive study comparing manually entered clinicopathological variables with electronically imported pathology reports.
- Data from 421 radical prostatectomy patients (2004-2011) were analyzed for concordance.
- Error rates were calculated for individual fields, distinguishing between text and numerical data.
Main Results:
- 76% of patients had concordant data across a median of 12 pathology fields.
- The overall error rate for manually entered data was 2.8%, with individual fields ranging from 0.5% to 6.4%.
- Text-based fields demonstrated significantly higher error rates (p<0.001) compared to numerical fields.
Conclusions:
- Manually entered pathology data has a low overall error rate, but specific fields are variably prone to errors.
- High-quality pathology data is achievable for both prospective and retrospective datasets.
- Electronic verification of source pathology data is a practical method for error detection.
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