Rozewski C M
Health Policy Institute, Medical College of Wisconsin, Milwaukee 53226.
Comput Methods Programs Biomed. 1993 Sep;41(1):17-31. doi: 10.1016/0169-2607(93)90063-q.
As health care costs have risen dramatically, the use of clinical data to analyze the quality of health care provided has increased. Central to this analysis is the means by which the clinical data itself is obtained. The reliability and validity of the data must be established in order to insure credible use of the data. The Wisconsin Ambulatory Review Project (WARP) is a three-year study of the nature of care in the ambulatory setting based on clinical data extracted retrospectively from written medical charts. This paper focuses on the method used to measure and report the reliability of the extraction process in the WARP study. The implementation of this methodology as a custom C program is described in detail.
随着医疗保健成本急剧上升，利用临床数据来分析所提供医疗保健的质量的做法也有所增加。这种分析的核心是获取临床数据本身的方式。必须确定数据的可靠性和有效性，以确保对数据的可靠使用。威斯康星门诊审查项目（WARP）是一项为期三年的研究，基于从书面病历中回顾性提取的临床数据，研究门诊环境中的护理性质。本文重点关注WARP研究中用于衡量和报告提取过程可靠性的方法。详细描述了将这种方法作为一个定制C程序的实现。
