PMID- 9586379
OWN - NLM
STAT- MEDLINE
DCOM- 19980601
LR  - 20190921
IS  - 0213-9111 (Print)
IS  - 0213-9111 (Linking)
VI  - 12
IP  - 1
DP  - 1998 Jan-Feb
TI  - [Automated analysis of the quality of the minimum set of basic data. Implications 
      for risk-adjusting systems].
PG  - 9-21
AB  - SETTING: Together with the age of the patient, the main diagnosis, secondary 
      diagnosis (comorbility and complications) and the procedures performed are the 
      critical variables for risk-adjusting. Therefore, its correct incorporation to 
      CMBD is of great importance. However, several studies, especially in the United 
      States, but also in Spain, have made evident the existence of important problems 
      of quality in these data, difficulties for its improvement and the limitations 
      which this has to assess the quality or the efficiency of hospitals. The 
      objective of this study is to approach the quality of administrative and clinical 
      collected in the CMBD of the Valencian Health Service (VHS) using an automatized 
      process of analysis of data from the same CMBD, and discuss the implications for 
      its management, as well as possible improvement strategies. MATERIAL AND METHOD: 
      An automatized analysis of the quality of CMBD 1994 of the VHS (20 hospitals, 
      241,341 admissions) was performed, using indicators of valid fulfilling of field 
      values, relationship between fields of the same episode, relationship between 
      variables in different episodes and volume and specificity of clinical 
      information. RESULTS: The analysed CMBD contains few errors in management 
      variables, with the exception of residence, but it shows important problems of 
      volume and specificity of clinical information, as well as a high variability in 
      its fulfilling and quality in different hospitals. CONCLUSIONS: The quality of 
      the clinical data of CMBD may be biased in its use with management aims or when 
      assessing quality, as well as in epidemiological studies, evaluation of 
      technology or use of services.
FAU - Librero, J
AU  - Librero J
AD  - Institut Valencia d'Estudis en Salut Publica (IVESP).
FAU - Ordinana, R
AU  - Ordinana R
FAU - Peiro, S
AU  - Peiro S
LA  - spa
PT  - English Abstract
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
TT  - Analisis automatizado de la calidad del conjunto minimo de datos basicos. 
      Implicaciones para los sistemas de ajuste de riesgos.
PL  - Spain
TA  - Gac Sanit
JT  - Gaceta sanitaria
JID - 8901623
SB  - IM
MH  - Databases, Factual/*standards
MH  - Hospitals
MH  - Humans
MH  - Medical Records/*standards
MH  - *Quality Assurance, Health Care
MH  - Risk Assessment
MH  - Spain
EDAT- 1998/05/20 00:00
MHDA- 1998/05/20 00:01
CRDT- 1998/05/20 00:00
PHST- 1998/05/20 00:00 [pubmed]
PHST- 1998/05/20 00:01 [medline]
PHST- 1998/05/20 00:00 [entrez]
AID - S0213-9111(98)76438-6 [pii]
AID - 10.1016/s0213-9111(98)76438-6 [doi]
PST - ppublish
SO  - Gac Sanit. 1998 Jan-Feb;12(1):9-21. doi: 10.1016/s0213-9111(98)76438-6.