Beiles Charles Barry, Bourke Bernie M
Australasian Vascular Audit, Australia and New Zealand Society for Vascular Surgery, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
ANZ J Surg. 2014 Sep;84(9):624-7. doi: 10.1111/ans.12760. Epub 2014 Jul 1.
Accuracy of data is important in any clinical audit. It is necessary to determine how complete the dataset is as well as the accuracy of the data that have been entered. The Australasian Vascular Audit has been operational for 4 years and a data validation process has been undertaken.
An independent data source is available, which is collected by the Australian Institute of Health and Welfare. This collects all public and private hospital data and is available for interrogation. Similarly, private-only data are available from the Medicare website. This has been compared with the Australasian Vascular Audit dataset to establish completeness of data collection. Quality of data collected has been verified by comparing accuracy of data fields with that present in patient records in a 5% random sample.
For the 2 years studied, there was a 63% capture rate in Australia for all patients. In the private sector, only 50% of patients were captured with a significant decrease noted in 2013. The quality of data entered had a 2.6% error rate.
There is a need to increase compliance with vascular audit in Australia and data accuracy is acceptable but could be improved.
在任何临床审计中,数据的准确性都很重要。有必要确定数据集的完整性以及已输入数据的准确性。澳大利亚血管审计已开展4年,并已进行数据验证过程。
有一个独立的数据源,由澳大利亚卫生与福利研究所收集。该数据源收集所有公立和私立医院的数据,可供查询。同样,仅私立医院的数据可从医疗保险网站获取。已将此与澳大利亚血管审计数据集进行比较,以确定数据收集的完整性。通过在5%的随机样本中比较数据字段与患者记录中的数据准确性,验证了所收集数据的质量。
在研究的两年中,澳大利亚所有患者的捕获率为63%。在私立部门,仅捕获了50%的患者,2013年有显著下降。输入数据的质量错误率为2.6%。
澳大利亚需要提高血管审计的合规性,数据准确性尚可接受,但仍可改进。