Measuring clinical performance using routinely collected clinical data.
نویسندگان
چکیده
Following the well-publicized problems with paediatric cardiac surgery at the Bristol Royal Infirmary, there is wide public interest in measures of hospital performance. The Kennedy report on the BRI events suggested that such measures should be meaningful to the public, case-mix-adjusted, and based on data collected as part of routine clinical care. We have found that it is possible to predict in-hospital mortality (a measure readily understood by the public) using simple routine data-age, mode of admission, sex, and routine blood test results. The clinical data items can be obtained at a single venesection, are commonly collected in the routine care of patients, are already stored on hospital core IT systems, and so place no extra burden on the clinical staff providing care. Such risk models could provide a metric for use in evidence-based clinical performance management. National application is logistically feasible.
منابع مشابه
Guiding the reporting of studies that use routinely collected health data.
In the last decade, there has been an explosion of digital information, and health information is no exception. Aided by the development of technology, vast amounts of data are being generated in health care, including abstracted clinical data from hospital discharge summaries, physician billing data and patient health information from electronic medical rec ords (EMRs). These data are rich in ...
متن کاملManaging outcome performance in mental health using HoNOS: experience at St Andrew’s Healthcare
AIMS AND METHOD Modern mental healthcare providers must demonstrate service-level clinical effectiveness to key stakeholders.We introduced two performance indicators of clinical effectiveness based on outcome data from routinely collected Health of the Nation Outcome Scales (HoNOS) and HoNOS-secure assessments across St Andrew’s Healthcare, a charity providing in-patient services in Northampton...
متن کاملPredictors of Quality of Work Life and Job Performance in Clinical Staff in Qazvin, Iran
Background and aims: Hospital staff are the main personnel of healthcare who play an important rolein improving the health of the society. Quality of working life can affect job performance in clinicalstaff. This study aimed to examine the relationship between quality of work life and job performancein clinical staff working at Kosar hospital, Qazvin.Methods: This cross-...
متن کاملEvaluation of biochemical methods performance in clinical laboratories: is this performance suitable for clinical application?
Background: Clinical application of the test results are profoundly influenced by laboratory errors. Nowadays, the best way to evaluate the performance of a method is to determine its sigma scale according to total allowable error (TEa) and analytical errors, including random and systematic errors. In this study, the performance of the measuring kits for biochemical analytes belonging to Pars A...
متن کاملSystematic review of discharge coding accuracy.
INTRODUCTION Routinely collected data sets are increasingly used for research, financial reimbursement and health service planning. High quality data are necessary for reliable analysis. This study aims to assess the published accuracy of routinely collected data sets in Great Britain. METHODS Systematic searches of the EMBASE, PUBMED, OVID and Cochrane databases were performed from 1989 to p...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Medical informatics and the Internet in medicine
دوره 30 2 شماره
صفحات -
تاریخ انتشار 2005