PMID- 7795964
OWN - NLM
STAT- MEDLINE
DCOM- 19950731
LR  - 20190512
IS  - 1353-4505 (Print)
IS  - 1353-4505 (Linking)
VI  - 6
IP  - 3
DP  - 1994 Sep
TI  - Data quality in a DRG-based information system.
PG  - 275-80
AB  - The aim of this study initiated in May 1990 was to evaluate the quality of the 
      medical data collected from the main hospital of the "Hospices Civils de Lyon", 
      Edouard Herriot Hospital. We studied a random sample of 593 discharge abstracts 
      from 12 wards of the hospital. Quality control was performed by checking 
      multi-hospitalized patients' personal data, checking that each discharge abstract 
      was exhaustive, examining the quality of abstracting, studying diagnoses and 
      medical procedures coding, and checking data entry. Assessment of personal data 
      showed a 4.4% error rate. It was mainly accounted for by spelling mistakes in 
      surnames and first names, and mistakes in dates of birth. The quality of a 
      discharge abstract was estimated according to the two purposes of the medical 
      information system: description of hospital morbidity per patient and Diagnosis 
      Related Group's case mix. Error rates in discharge abstracts were expressed in 
      two ways: an overall rate for errors of concordance between Discharge Abstracts 
      and Medical Records, and a specific rate for errors modifying classification in 
      Diagnosis Related Groups (DRG). For abstracting medical information, these error 
      rates were 11.5% (SE +/- 2.2) and 7.5% (SE +/- 1.9) respectively. For coding 
      diagnoses and procedures, they were 11.4% (SE +/- 1.5) and 1.3% (SE +/- 0.5) 
      respectively. For data entry on the computerized data base, the error rate was 2% 
      (SE +/- 0.5) and 0.2% (SE +/- 0.05). Quality control must be performed regularly 
      because it demonstrates the degree of participation from health care teams and 
      the coherence of the database.(ABSTRACT TRUNCATED AT 250 WORDS)
FAU - Colin, C
AU  - Colin C
AD  - Medical Information Center of the Hospices Civils de Lyon, Hotel Dieu, France.
FAU - Ecochard, R
AU  - Ecochard R
FAU - Delahaye, F
AU  - Delahaye F
FAU - Landrivon, G
AU  - Landrivon G
FAU - Messy, P
AU  - Messy P
FAU - Morgon, E
AU  - Morgon E
FAU - Matillon, Y
AU  - Matillon Y
LA  - eng
PT  - Journal Article
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
MH  - Data Collection/*standards
MH  - Database Management Systems/standards
MH  - Diagnosis-Related Groups/*statistics & numerical data
MH  - France
MH  - Hospital Information Systems/*standards
MH  - Humans
MH  - Medical Records Systems, Computerized/standards
MH  - Patient Care Team
MH  - Patient Discharge/statistics & numerical data
MH  - *Quality Control
MH  - Sampling Studies
EDAT- 1994/09/01 00:00
MHDA- 1994/09/01 00:01
CRDT- 1994/09/01 00:00
PHST- 1994/09/01 00:00 [pubmed]
PHST- 1994/09/01 00:01 [medline]
PHST- 1994/09/01 00:00 [entrez]
AID - 10.1093/intqhc/6.3.275 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 1994 Sep;6(3):275-80. doi: 10.1093/intqhc/6.3.275.