Evidence map›Paper›PMID 23015098›Full record

ArticleBMJ quality & safety2013

Method for developing national quality indicators based on manual data extraction from medical records.

Melanie Couralet, Henri Leleu, Frederic Capuano, Leah Marcotte, Gérard Nitenberg, Claude Sicotte, Etienne Minvielle

Abstract readValidation Study
In one paragraph

Article in BMJ quality & safety, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Melanie CouraletINSERM U988, Institut Gustave Roussy, 38 rue Camille Desmoulins, Villejuif Cedex, France.
Henri Leleu
Frederic Capuano
Leah Marcotte
Gérard Nitenberg
Claude Sicotte
Etienne Minvielle

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Developing quality indicators (QI) for national purposes (eg, public disclosure, paying-for-performance) highlights the need to find accessible and reliable data sources for collecting standardised data. The most accurate and reliable data source for collecting clinical and organisational information still remains the medical record. Data collection from electronic medical records (EMR) would be far less burdensome than from paper medical records (PMR). However, the development of EMRs is costly and has suffered from low rates of adoption and barriers of usability even in developed countries. Currently, methods for producing national QIs based on the medical record rely on manual extraction from PMRs. We propose and illustrate such a method. These QIs display feasibility, reliability and discriminative power, and can be used to compare hospitals. They have been implemented nationwide in France since 2006. The method used to develop these QIs could be adapted for use in large-scale programmes of hospital regulation in other, including developing, countries.

Indexed as

Quality ImprovementClinical AuditDiffusion of InnovationDiscriminant AnalysisFeasibility StudiesFranceHospitalsHumansInformation Storage and RetrievalMedical Records Systems, ComputerizedPilot ProjectsQuality Indicators, Health CareReproducibility of ResultsSampling Studies

Identifiers

PMID23015098
PMCPMC3582043

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.