Are administrative data valid when measuring patient safety in hospitals? A comparison of data collection methods using a chart review and administrative data

August 2015
International Journal for Quality in Health Care;Aug2015, Vol. 27 Issue 4, p305
Academic Journal
Objective: To evaluate the validity and reliability of German Diagnosis Related Group administrative data to measure indicators of patient safety in comparison to clinical records. Design: A cross-sectional studywas conducted using chart review(CR) as gold standard and screening of associated administrative data based on DRG coding. Setting: Three German somatic acute care hospitals for adults. Participants: A total of 3000 cases treated between May and December, 2010. Main outcome measures: Eight indicators were used to analyse the incidence of associated adverse events (AEs): pressure ulcers, catheter-related infections, respiratory failure, deep vein thromboses, hospital-acquired pneumonia, acute renal failure, acute myocardial infarction and wound infections. We calculated sensitivity, specificity, positive predictive value (PPV) and Cohen's Kappa with 95% confidence intervals. Results: Screening of administrative data identified 171 AEs and 456 were identified by CR. A number of 135 identical events were identified by both methods. Sensitivities for the detection of AEs using administrative data ranged from 6 to 100%. Specificities ranged from 99 to 100%. PPV were 33 to 100% and reliabilities were 12 to 85%. Conclusions: Indicators based on German administrative data deviate widely from indicators based on clinical data. Therefore, hospitals should be cautious to use indicators based on administrative data for quality assurance. However, some might be useful for case findings and quality improvement. The precision of the evaluated indicators needs further development to detect AEs by the valid use of administrative data.


Related Articles

  • Creating the Continuity of Care Record (CCR)--The Time is Right! Niess, Dennis R. // Leading Edge;Spring2006, Vol. 3 Issue 2, p1 

    The article focuses on the Continuity of Care Record. Continuity of Care Record is a core data set which is created or updated at the conclusion of a health care encounter. It contains the most relevant past medical history as well as current health status, treatments and future health care...

  • HEALTH STATUS OF SENSATION SEEKERS ON HIGH ALTITUDE PLACES NEARBY ASTORE VALLEY, GILGIT-BALTISTAN, PAKISTAN. Sulman, Nasir; Mehmood, Nadeem; Wajidi, Faraz Ahmed // Interdisciplinary Journal of Contemporary Research in Business;Aug2012, Vol. 4 Issue 4, p893 

    There is a long list of medical problems which are related to high altitude journey and consequently caused serious health hazards. In Pakistan, various high altitude places are far from medical rescue due to their remote locations. To consider this fact, it is very essential for local tourists,...

  • Exploring the Surveillance Potential of Mortality Data: Nine Years of Bovine Fallen Stock Data Collected in Catalonia (Spain). Alba, Anna; Dórea, Fernanda C.; Arinero, Lucas; Sanchez, Javier; Cordón, Ruben; Puig, Pere; Revie, Crawford W. // PLoS ONE;Apr2015, Vol. 10 Issue 4, p1 

    The potential of fallen stock data to monitor the health status of animal populations has been noted in previous studies. However, further research is required to implement these systems for surveillance. This work presents a novel approach to determining the baselines associated with bovine...

  • The causes of maternal mortality and associated risk factors in Khuzestan province (2009-2013). Jamshidi, Farkhondeh; Ghorbani, Ali; Jafarri, Razieh Mohammad // International Journal of Pharmaceutical Research & Allied Scienc;2016, Vol. 5 Issue 3, p150 

    The maternal mortality rate (MMR) is one of the most important health indicators showing the socio-economic development of countries. Several direct and indirect factors are involved in increasing or decreasing MMR. The present study aimed at reviewing the causes of maternal mortality and...

  • Healthy Canadians in 2010? Millar, John S. // CMAJ: Canadian Medical Association Journal;6/27/2000, Vol. 162 Issue 13, p1823 

    Comments on the need for the development of health information in Canada as of July 2000. Enhancement of health surveillance capabilities of Health Canada and funding of Health Information Roadmap Initiative; Health indicators to support the process; Need for a pan-Canadian process for...

  • USING THE BRADEN AND GLASGOW SCALES TO PREDICT PRESSURE ULCER RISK IN PATIENTS HOSPITALIZED AT INTENSIVE CARE UNITS. Fernandes, Luciana Magnani; Larcher Caliri, Maria Helena // Revista Latino-Americana de Enfermagem (RLAE);nov/dez2008, Vol. 16 Issue 6, p973 

    Pressure ulcers remain a major health issue for critical patients. The purpose of this descriptive and exploratory study was to analyze the risk factors for the development of pressure ulcers in patients hospitalized at an intensive care unit of a university hospital. Patients were assessed...

  • Understanding patient risks.  // Kai Tiaki Nursing New Zealand;Dec2013/Jan2014, Vol. 19 Issue 11, p10 

    No abstract available.

  • The Assessment of Quality of Life (AQoL) instrument: a psychometric measure of health-related quality of life. Hawthorne, Graeme; Richardson, Jeff; Osborne, Richard; Hawthorne, G; Richardson, J; Osborne, R // Quality of Life Research;May1999, Vol. 8 Issue 3, p209 

    This paper describes constructing the Assessment of Quality of Life (AQoL) instrument; designed to measure health-related quality of life (HRQoL), and to be the descriptive system for a multi-attribute utility instrument. Unlike previous utility instruments' descriptive systems, the AQoL's has...

  • Success story: Boosting annual health screens.  // Hospital Employee Health;Dec2008, Vol. 27 Issue 12, p142 

    The article reports that North General Hospital in New York City has made a fundamental change in its health assessments policy. According to the new policy, the hospital have made health assessments a condition of employment. Employees who neglect their annual assessment first receive a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics