在SWEDEHEART注册表中的数据质量评估:关于完整性和准确性的连续审计的见解
Margret Leosdottir1, Lars Dahlbom2, Maria Bäck3
1Department of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Sweden; Department of Cardiology, Skane University Hospital, Malmö, Sweden.
American heart journal
|May 3, 2025
概括
SWEDEHEART注册表显示了对心脏病的高数据完整性和准确性,确保了可靠的质量监测和研究. 审计证实了其在改善瑞典患者护理方面的价值.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 数据质量保证 数据质量保证
背景情况:
- 可靠的注册数据对于监测临床护理至关重要.
- 透明的数据质量保证流程对于医疗保健注册表至关重要.
- 瑞典心脏病质量登记处SWEDEHEART登记处定期进行审计.
研究的目的:
- 描述SWEDEHEART注册表的审计过程.
- 评估SWEDEHEART注册表的数据质量 (完整性和准确性) 随着时间的推移.
- 评估SWEDEHEART数据的可靠性,以提高质量和进行研究.
主要方法:
- 2011年至2018年间,在4个时间点进行了审计.
- 专注于3个子注册表:急性冠状动脉综合征 (ACS),皮肤冠状动脉干预 (PCI) 和心脏康复 (CR).
- 数据质量由控制者对电子医疗记录进行评估;审计覆盖率从18.3%扩大到100%的地点.
主要成果:
- 2017年至2018年的数据完整性:SWEDEHEART-ACS 99.1%,SWEDEHEART-PCI 99.2%,SWEDEHEART-CR 94.5%. 这是一个非常好的数据.
- 与电子医疗记录相比,数据准确度在所有子注册表和审计中始终高于95.0%.
- 常见的数据问题包括时间点,自我报告的数据和复杂的定义.
结论:
- SWEDEHEART注册表提供了非常完整和准确的患者数据.
- 可靠的数据支持质量改善举措和医院比较.
- 该注册表适用于高质量的基于注册表的研究和国际比较.
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