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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >A Performance Review Utilising Administratively Collected Hospital Patient Information and Coding Data
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A Performance Review Utilising Administratively Collected Hospital Patient Information and Coding Data

机译：利用行政收集的医院患者信息和编码数据进行绩效评估

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Objectives: Collection of data and self audit can be a difficult undertaking in orthopaedic private practice. The aim of this study is to demonstrate that review of administratively collected patient information can provide useful information for self-audit and clinical outcomes. Methods: Baseline coding, Financial and Limited Adverse Outcome Screening (LAOS) data relating to a single Orthopaedic Surgeon’s Knee Practice at one private hospital, relating to surgical admissions between the 31~(st)January 2013 and the 31~(st)March 2015 was analysed. Measures looked at included; absolute numbers of surgical procedures, breakdown of procedures according to coding, readmissions within 30 days, length of stay per procedure, return to theatre, adverse events including thromboembolism, infection and bleeding. Results: Administratively collected data proved to be a useful self- audit and monitoring tool. It is not a substitute for prospectively collected clinical data. The strength of this data is that it is relatively easily accessed and may alert the individual to trends in their practice that may prompt further investigation and practice modification. This information is already being provided to insurers and statutory bodies without clinical interpretation and is becoming increasingly important as insurers look to stop funding certain adverse outcomes that require treatment. The process maybe mutually beneficial to both clinician and hospital. The clinician gets to access the data to assist in outcomes evaluation/ improvement whilst the hospital benefits through more accurate recording of adverse events and potentially better coding of data. Conclusion: Procurement and basic analysis of administratively collected data can be performed by a solo practitioner without access to any extra research resources. This data allows performance monitoring and may stimulate further practice evaluation and change.
机译：目标：数据收集和自我审核在整形外科私人实践中可能是一项艰巨的任务。这项研究的目的是证明对管理收集的患者信息的审查可以为自我审计和临床结果提供有用的信息。方法：与2013年1月31日至2015年3月31日之间的外科手术入院相关的基线编码，财务和有限逆向筛查（LAOS）数据，涉及一家私立医院的单个骨科医生的膝部练习被分析了。研究的措施包括在内;手术的绝对数量，根据编码分类的手术细目，30天内的再入院，每次手术的住院时间，返回剧院，不良事件包括血栓栓塞，感染和出血。结果：行政上收集的数据被证明是有用的自我审计和监视工具。它不能替代预期收集的临床数据。该数据的优势在于它相对易于访问，并且可以提醒个人注意其实践趋势，从而可能促使进一步的调查和实践修改。这些信息已经在没有临床解释的情况下提供给保险公司和法定机构，并且随着保险公司希望停止资助某些需要治疗的不良后果而变得越来越重要。该过程可能对临床医生和医院都有利。临床医生可以访问数据以帮助评估/改善结果，同时医院可以通过更准确地记录不良事件和可能更好地编码数据而受益。结论：可以由独资从业人员执行管理收集的数据的采购和基本分析，而无需访问任何额外的研究资源。该数据可以进行绩效监控，并且可以促进进一步的实践评估和变更。

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