Green L A, Reed F M, Miller R S, Iverson D C
ASPN, Denver, CO 80202.
Fam Med. 1988 May-Jun;20(3):189-91.
Little is known about the accuracy of data reported in practice based primary care research. The Ambulatory Sentinel Practice Network (ASPN) undertook a 100% audit of 226 patients included in a study of spontaneous abortion (SAB). The audit was conducted to assess the feasibility of conducting audits in primary care research networks dispersed over large geographic areas, verify that patients met inclusion criteria, and assess the frequency of reporting errors using the medical record as a standard. Of the originally reported SABs, 24% could not be verified. The overall error rate was 4.5%, a total of 106 errors out of a possible 2,361. Seventy percent of these errors came from five of the 34 participating practices. Sixty-six percent of the records were error-free. Seventy-seven percent of the errors were associated with problems with methods and clustered into three categories: gravidity, gestational age, and dilation and curettage (D&C). According to this audit, the data reported by the practices for research purposes were very similar to the data found in the medical record.
关于基于实践的初级保健研究中所报告数据的准确性，人们了解甚少。门诊哨点实践网络（ASPN）对一项自然流产（SAB）研究中的226名患者进行了100%的审核。此次审核旨在评估在分布于广大地理区域的初级保健研究网络中进行审核的可行性，核实患者是否符合纳入标准，并以病历为标准评估报告错误的发生率。在最初报告的自然流产病例中，24%无法得到核实。总体错误率为4.5%，在可能出现的2361个数据中共有106个错误。这些错误的70%来自34个参与实践中的5个。66%的记录没有错误。77%的错误与方法问题相关，并分为三类：妊娠次数、孕周以及刮宫术（D&C）。根据此次审核，各实践为研究目的所报告的数据与病历中的数据非常相似。
