ArticleBMC health services research2008
How to limit the burden of data collection for Quality Indicators based on medical records? The COMPAQH experience.
Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Concordance of care processes between medical records and patient self-administered questionnaires.BMC family practice · 2019Trial
- Quality of patient safety indicators in intensive care units: Protocol for a systematic review.PloS one · 2026Article
- Development of a quality assurance tool for intensive care units in Lebanon during the COVID-19 pandemic.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2022Review
- How to assure the quality of clinical records? A 7-year experience in a large academic hospital.PloS one · 2021Article
- Assessing the impact of a quality improvement program on the quality and timeliness of discharge documents: A before and after study.Medicine · 2020Article
- Hospital quality measures: are process indicators associated with hospital standardized mortality ratios in French acute care hospitals?BMC health services research · 2017Article
- Article
- Computer-facilitated review of electronic medical records reliably identifies emergency department interventions in older adults.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2013Article
- Method for developing national quality indicators based on manual data extraction from medical records.BMJ quality & safety · 2013Article
- Development and feasibility of a set of quality indicators relative to the timeliness and organisation of care for new breast cancer patients undergoing surgery.BMC health services research · 2012Article
- Barriers to staff adoption of a surgical safety checklist.BMJ quality & safety · 2012Article
- Investigating organizational quality improvement systems, patient empowerment, organizational culture, professional involvement and the quality of care in European hospitals: the 'Deepening our Understanding of Quality Improvement in Europe (DUQuE)' project.BMC health services research · 2010Article
- Suitability of three indicators measuring the quality of coordination within hospitals.BMC health services research · 2010Article
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Authors and funding
4 authors.
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Abstract
backgroundOur objective was to limit the burden of data collection for Quality Indicators (QIs) based on medical records.
methodsThe study was supervised by the COMPAQH project. Four QIs based on medical records were tested: medical record conformity; traceability of pain assessment; screening for nutritional disorders; time elapsed before sending copy of discharge letter to the general practitioner. Data were collected by 6 Clinical Research Assistants (CRAs) in a panel of 36 volunteer hospitals and analyzed by COMPAQH. To limit the burden of data collection, we used the same sample of medical records for all 4 QIs, limited sample size to 80 medical records, and built a composite score of only 10 items to assess medical record completeness. We assessed QI feasibility by completing a grid of 19 potential problems and evaluating time spent. We assessed reliability (kappa coefficient) as well as internal consistency (Cronbach alpha coefficient) in an inter-observer study, and discriminatory power by analysing QI variability among hospitals.
resultsOverall, 23 115 data items were collected for the 4 QIs and analyzed. The average time spent on data collection was 8.5 days per hospital. The most common feasibility problem was misunderstanding of the item by hospital staff. QI reliability was good (kappa: 0.59-0.97 according to QI). The hospitals differed widely in their ability to meet the quality criteria (mean value: 19-85%).
conclusionThese 4 QIs based on medical records can be used to compare the quality of record keeping among hospitals while limiting the burden of data collection, and can therefore be used for benchmarking purposes. The French National Health Directorate has included them in the new 2009 version of the accreditation procedure for healthcare organizations.
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