Evidence map›Paper›PMID 37820133›Full record

ArticleRevista brasileira de enfermagem2023

Content validation of an instrument for medical record audits.

Carla Simplicio, Ariane Polidoro Dini

Abstract read
In one paragraph

Article in Revista brasileira de enfermagem, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

2 authors.

Carla SimplicioUniversidade Estadual de Campinas. Campinas, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-1957-4912
Ariane Polidoro DiniUniversidade Estadual de Campinas. Campinas, São Paulo, Brazil.ORCID http://orcid.org/0000-0002-5830-9989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo build and validate the content of an instrument to conduct medical record audits; to conduct a pre-test.

methodsMethodological study conducted from May/2020 to May/2021 in three stages: 1) development of the instrument by bibliographic survey and benchmarking; 2) content validation using the Delphi technique; 3) application of the instrument and descriptive analysis in a sample of 200 medical records.

resultsAn instrument was constructed with 11 domains containing sub-items that characterize the quality of care. Two stages of the Delphi technique were necessary to reach a content validity index higher than 0.90. For each domain, a graduated scale with a numerical value from 1 to 4 points was attributed, reflecting the quality of its completion. The average time of application was 35 minutes per record.

conclusionsThe tool proved to be viable to support clinical audits to identify the level of excellence and reveal opportunities for improvement in care processes.

Indexed as

Surveys and QuestionnairesHumansReproducibility of Results

Identifiers

PMID37820133
PMCPMC10561927

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.