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1.
BMC Med Res Methodol ; 19(1): 241, 2019 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-31852451

RESUMO

AIM: Subsequent to a three-month pilot phase, recruiting patients for the newly established BFCC (Baltic Fracture Competence Centre) transnational fracture registry, a validation of the data quality needed to be carried out, applying a standardized method. METHOD: During the literature research, the method of "adaptive monitoring" fulfilled the requirements of the registry and was applied. It consisted of a three-step audit process; firstly, scoring of the overall data quality, followed by source data verification of a sample size, relative to the scoring result, and finally, feedback to the registry on measures to improve data quality. Statistical methods for scoring of data quality and visualisation of discrepancies between registry data and source data were developed and applied. RESULTS: Initially, the data quality of the registry scored as medium. During source data verification, missing items in the registry, causing medium data quality, turned out to be absent in the source as well. A subsequent adaptation of the score evaluated the registry's data quality as good. It was suggested to add variables to some items in order to improve the accuracy of the registry. DISCUSSION: The application of the method of adaptive monitoring has only been published by Jacke et al., with a similar improvement of the scoring result following the audit process. Displaying data from the registry in graphs helped to find missing items and discover issues with data formats. Graphically comparing the degree of agreement between the registry and source data allowed to discover systematic faults. CONCLUSIONS: The method of adaptive monitoring gives a substantiated guideline for systematically evaluating and monitoring a registry's data quality and is currently second to none. The resulting transparency of the registry's data quality could be helpful in annual reports, as published by most major registries. As the method has been rarely applied, further successive applications in established registries would be desirable.


Assuntos
Confiabilidade dos Dados , Fraturas Ósseas/terapia , Sistema de Registros , Adulto , Fraturas Ósseas/epidemiologia , Alemanha/epidemiologia , Humanos , Avaliação de Resultados em Cuidados de Saúde , Reprodutibilidade dos Testes
2.
Biomed Tech (Berl) ; 63(1): 5-10, 2018 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-29286909

RESUMO

In the past decades, modern medicine has been undergoing a change in the direction of digitalisation and automation. Not only the integration of new digital technologies, but also the interconnection of all components can simplify clinical processes and allow progress and development of new innovations. The integration and interconnection of medical devices with each other and with information technology (IT) systems was addressed within the framework of the Federal Ministry of Education and Research (BMBF)-funded lighthouse project OR.NET ("Secure dynamic networking in the operating room and clinic".) (OR.net-Forschungskonsortium (OR.net Research Syndicate.) OR.net - Sichere dynamische Vernetzung in Operationssaal und Klinik [Online]. Available: www.ornet.org. [last accessed 22 March 2017]). In this project the standards and concepts for interdisciplinary networking in the operating room (OR) were developed. In this paper, the diverse advantages of the OR.NET concept are presented and explained by the OR.NET "Medical Board". This board represents the forum of clinical users and includes clinicians and experts from various specialties. Furthermore, the opinion from the viewpoint of operators is presented. In a concluding comment of the "Operator Board", clinical user needs are aligned with technical requirements.


Assuntos
Salas Cirúrgicas , Humanos , Internet
3.
Artigo em Inglês | MEDLINE | ID: mdl-26063250

RESUMO

Today, connecting medical devices to the hospital network becomes a priority for many hospitals. User and operator requirements for communication must be considered in order to develop an adequate interoperable integration approach. This paper conducts a requirement study using questionnaires and working groups investigating 16 clinical communication requirements for connecting medical devices with each other and with clinical IT systems. Six German Hospitals order the communication requirements by their clinical relevance and categorize those into four main clusters. Communication requirements regarding accurate data transfer and processing for patients and devices have top priority, while communication requirements regarding remote manipulation of medical devices have low rank. Connecting medical devices to clinical IT systems improves clinical documentation and with it patient care processes.


Assuntos
Redes de Comunicação de Computadores/normas , Registros Eletrônicos de Saúde/normas , Equipamentos e Provisões/normas , Guias como Assunto , Registro Médico Coordenado/normas , Sistemas de Informação em Salas Cirúrgicas/normas , Alemanha , Armazenamento e Recuperação da Informação/normas , Avaliação das Necessidades , Integração de Sistemas
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