Axon Registry® data validation: Accuracy assessment of data extraction and measure specification
| Autor: | Brandon Magliocco, Sarah M. Benish, Laura Palmer, Becky Schierman, Aleksandar Videnovic, Karen B. Lundgren, Lyell K. Jones, Christine M. Baca |
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| Rok vydání: | 2018 |
| Předmět: |
Measure (data warehouse)
Computer science Concordance Data validation computer.software_genre United States Data Accuracy Automated data 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Data extraction medicine Electronic Health Records Humans Registry data Extraction methods 030212 general & internal medicine Neurology (clinical) Data mining Registries Axon Nervous System Diseases computer 030217 neurology & neurosurgery |
| Zdroj: | Neurology. 92(18) |
| ISSN: | 1526-632X |
| Popis: | ObjectiveTo conduct a data validation study encompassing an accuracy assessment of the data extraction process for the Axon Registry®.MethodsData elements were abstracted from electronic health records (EHRs) by an external auditor (IQVIA) using virtual site visits at participating sites. IQVIA independently calculated Axon Registry quality measure performance rates based on American Academy of Neurology measure specifications and logic using Axon Registry data. Agreement between Axon Registry and IQVIA data elements and measure performance rates was calculated. Discordance was investigated to elucidate underlying systemic or idiosyncratic reasons for disagreement.ResultsNine sites (n = 720 patients; n = 80 patients per site) with diversity among EHR vendor, practice settings, size, locations, and data transfer method were included. There was variable concordance between the data elements in the Axon Registry and those abstracted independently by IQVIA; high match rates (≥92%) were observed for discrete elements (e.g., demographics); lower match rates (p < 0.001).ConclusionThere was a range of concordance between data elements and quality measures in the Axon Registry and those independently abstracted and calculated by an independent vendor. Validation of data and processes is important for the Axon Registry as a clinical quality data registry that utilizes automated data extraction methods from the EHR. Implementation of remediation strategies to improve data accuracy will support the ability of the Axon Registry to perform accurate quality reporting. |
| Databáze: | OpenAIRE |
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