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Accuracy of Administrative Data for Antimicrobial Administration in Hospitalized Children

Joshua D Courter1, Sarah K Parker2, Cary Thurm3

  • 1Division of Pharmacy, Cincinnati Children's Hospital Medical, Ohio.

Insights

Administrative data serve as a proxy for medication-administration record (MAR) data. This study found administrative data align better with billing upon administration than billing upon dispensing.

Area of Science:

  • Health Informatics
  • Data Management in Healthcare
  • Clinical Data Analysis

Background:

  • Administrative data are frequently utilized as a surrogate for medication-administration record (MAR) data in healthcare research.
  • Accurate data sources are crucial for reliable clinical research and healthcare management.

Purpose of the Study:

  • To compare the concordance between multicenter MAR data and administrative data.
  • To determine which administrative data billing method (bill-upon-administration vs. bill-upon-dispense) is a better proxy for MAR data.

Main Methods:

  • Retrospective analysis of multicenter MAR data.
  • Comparison with administrative data from the Pediatric Health Information Systems database (January 2010 - June 2013).

Main Results:

  • Administrative data demonstrated higher concordance with medication administration events when based on billing upon administration.
  • Bill-upon-dispense data showed lower concordance compared to bill-upon-administration data.

Conclusions:

  • Administrative data, particularly when linked to billing upon administration, can serve as a more reliable proxy for MAR data.
  • This finding has implications for data quality in pediatric healthcare research and administrative data utilization.

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