The National Cardiovascular Data Registry (NCDR) Data Quality Brief The NCDR Data Quality Program in 2012

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY

卷:60

Article

Messenger, John C.¹  Ho, Kalon K. L.²  Young, Christopher H.³  Slattery, Lara E.³  Draoui, Jasmine C.³  Curtis, Jeptha P.⁴  Dehmer, Gregory J.⁵  Grover, Frederick L.^1,6  Mirro, Michael J.⁷  Reynolds, Matthew R.⁸  Rokos, Ivan C.⁹  Spertus, John A.¹⁰  Wang, Tracy Y.¹¹  Winston, Stuart A.¹²  Rumsfeld, John S.⁶ 

[1] Univ Colorado, Sch Med, Aurora, CO 80045 USA

[2] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

[3] Amer Coll Cardiol, Washington, DC USA

[4] Yale Univ, Sch Med, Cardiol Sect, New Haven, CT USA

[5] Texas A&M Hlth Sci Ctr, Coll Med, Scott & White Healthcare, Temple, TX USA

[6] Vet Affairs Med Ctr, Denver Dept, Denver, CO USA

[7] Parkview Hlth Syst, Ft Wayne, IN USA

[8] Harvard Clin Res Inst, Boston, MA USA

[9] UCLA Olive View Med Ctr, Los Angeles, CA USA

[10] UMKC, St Lukes Mid Amer Heart Inst, Kansas City, MO USA

[11] Duke Clin Res Inst, Durham, NC USA

[12] St Joseph Mercy Hlth Syst, Michigan Heart & Vasc Inst, Ann Arbor, MI USA

关键词: audit;    data quality;    National Cardiovascular Data Registry;   

DOI  :  10.1016/j.jacc.2012.07.020

来源: Elsevier

【 摘 要 】

Objectives The National Cardiovascular Data Registry (NCDR) developed the Data Quality Program to meet the objectives of ensuring the completeness, consistency, and accuracy of data submitted to the observational clinical registries. The Data Quality Program consists of 3 main components: 1) a data quality report; 2) a set of internal quality assurance protocols; and 3) a yearly data audit program. Background Since its inception in 1997, the NCDR has been the basis for the development of performance and quality metrics, site-level quality improvement programs, and peer-reviewed health outcomes research. Methods Before inclusion in the registry, data are filtered through the registry-specific algorithms that require predetermined levels of completeness and consistency for submitted data fields as part of the data quality report. Internal quality assurance protocols enforce data standards before reporting. Within each registry, 300 to 625 records are audited annually in 25 randomly identified sites (i.e., 12 to 25 records per audited site). Results In the 2010 audits, the participant average raw accuracy of data abstraction for the CathPCI Registry, ICD Registry, and ACTION Registry-GWTG were, respectively, 93.1% (range, 89.4% minimum, 97.4% maximum), 91.2% (range, 83.7% minimum, 95.7% maximum), and 89.7.% (range, 85% minimum, 95% maximum). Conclusions The 2010 audits provided evidence that many fields in the NCDR accurately represent the data from the medical charts. The American College of Cardiology Foundation is undertaking a series of initiatives aimed at creating a quality assurance rapid learning system, which, when complete, will monitor, evaluate, and improve data quality. (J Am Coll Cardiol 2012;60:1484-8) (c) 2012 by the American College of Cardiology Foundation

【 授权许可】

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