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开发伊朗骨科损伤信息管理系统的最小数据集。

Developing a minimum data set of the information management system for orthopedic injuries in iran.

作者信息

Ahmadi Maryam, Mohammadi Ali, Chraghbaigi Ramin, Fathi Taimur, Shojaee Baghini Mahdieh

机构信息

Department of Health Information Management, School of Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran ; Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran.

Department of Health Information Management, School of Management and Medical Information Sciences, Iran University of Medical Sciences, Tehran, IR Iran.

出版信息

Iran Red Crescent Med J. 2014 Jul;16(7):e17020. doi: 10.5812/ircmj.17020. Epub 2014 Jul 5.

Abstract

BACKGROUND

Orthopedic injuries are the most common types of injuries. To identify the main causes of injuries, collecting data in a standard manner at the national level are needed, which justifies necessity of making a minimum data set (MDS).

OBJECTIVES

The aim of this study was to develop an MDS of the information management system for orthopedic injuries in Iran.

MATERIALS AND METHODS

This descriptive cross-sectional study was performed in 2013. Data were collected from hospitals affiliated with Tehran University of Medical Sciences that had orthopedic department, medical documents centers, legal medicine centers, emergency centers, internet access, and library. Investigated documents were orthopedic injury records in 2012, documents that retrieved from the internet, and printed materials. Records with Random sampling by S22-S99 categories from ICD-10 were selected and the related internet-sourced data were evaluated entirely. Data were collected using a checklist. In order to make a consensus about the data elements, the decision Delphi technique was applied by a questionnaire. The content validity and reliability of the questionnaire were assessed by expert's opinions and test-retest method, respectively.

RESULTS

AN MDS OF ORTHOPEDIC INJURIES WERE ASSIGNED TO TWO CATEGORIES: administrative category with six classes including 142 data elements, and clinical category with 17 classes including 250 data elements.

CONCLUSIONS

This study showed that some of the essential data elements included in other country's MDS or required for organizations and healthcare providers were not included. Therefore, a complete list of an MDS elements was created. Existence of comprehensive data concerning the causes and mechanisms of injuries informs public health policy-makers about injuries occurrence and enables them to take rationale measures to deal with these problems.

摘要

背景

骨科损伤是最常见的损伤类型。为了确定损伤的主要原因,需要在国家层面以标准方式收集数据,这证明了制定最小数据集(MDS)的必要性。

目的

本研究的目的是开发伊朗骨科损伤信息管理系统的最小数据集。

材料与方法

这项描述性横断面研究于2013年进行。数据收集自德黑兰医科大学附属的设有骨科、医学文件中心、法医学中心、急救中心、具备互联网接入条件及图书馆的医院。调查的文件包括2012年的骨科损伤记录、从互联网检索到的文件以及印刷材料。从国际疾病分类第10版(ICD - 10)的S22 - S99类别中随机抽样选取记录,并对相关的互联网来源数据进行全面评估。使用清单收集数据。为了就数据元素达成共识,通过问卷应用了德尔菲决策技术。分别通过专家意见和重测法评估问卷的内容效度和信度。

结果

骨科损伤的最小数据集分为两类:管理类别有六个类别,包括142个数据元素;临床类别有17个类别,包括250个数据元素。

结论

本研究表明,其他国家最小数据集中包含的一些基本数据元素或组织及医疗服务提供者所需的数据元素未被纳入。因此,创建了一份完整的最小数据集元素清单。有关损伤原因和机制的全面数据的存在,使公共卫生政策制定者了解损伤的发生情况,并使他们能够采取合理措施来处理这些问题。

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