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The Basingstoke Orthopaedic Database: a high quality accurate information system for audit

I W Barlow1, N A Flynn, J M Britton

  • 1Basingstoke District Hospital, Hants.

Annals of the Royal College of Surgeons of England
|November 1, 1994
PubMed
Summary

A new computerized audit system for orthopaedic surgery demonstrated high accuracy, with only 2.5% missed entries. This validated system ensures reliable data for orthopaedic audits and research.

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Area of Science:

  • Medical Informatics
  • Orthopaedic Surgery Auditing
  • Health Data Management

Background:

  • Computerized audit systems are crucial for healthcare quality improvement.
  • Validating data accuracy in orthopaedic surgery is essential for reliable clinical analysis.
  • Existing systems may lack flexibility or incur high maintenance costs.

Purpose of the Study:

  • To validate the accuracy of a custom-built computerized audit system for an Orthopaedic Department.
  • To assess the completeness and accuracy of recorded surgical data.
  • To evaluate the system's flexibility, cost-effectiveness, and maintainability.

Main Methods:

  • Comparison of the computerized audit system's data against operating theatre records.
  • Cross-validation with patients' case notes for accuracy assessment.

Related Experiment Videos

  • Analysis of data completeness and accuracy rates for recorded entries.
  • Main Results:

    • The system exhibited a low rate of missed entries (2.5%).
    • Information on the nature of operations was 92.5% complete and 98% accurate.
    • High medical input contributed to the system's accuracy.

    Conclusions:

    • The custom computerized audit system is accurate and reliable for orthopaedic data.
    • The Basingstoke Orthopaedic Database is a flexible, cost-effective, and maintainable solution.
    • The system's data format supports integration with standard software packages.