W.F. Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA.
Appl Nurs Res. 2012 May;25(2):108-16. doi: 10.1016/j.apnr.2010.02.004. Epub 2010 Apr 9.
Data obtained from the patient medical record are often a component of clinical research led by nurse investigators. The rigor of the data collection methods correlates to the reliability of the data and, ultimately, the analytical outcome of the study. Research strategies for reliable data collection from the patient medical record include the development of a precise data collection tool, the use of a coding manual, and ongoing communication with research staff.
从患者病历中获得的数据通常是护士研究员主导的临床研究的一个组成部分。数据收集方法的严谨性与数据的可靠性相关,最终与研究的分析结果相关。从患者病历中可靠地收集数据的研究策略包括开发精确的数据收集工具、使用编码手册以及与研究人员进行持续沟通。