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Centre for Policy on Ageing | |
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| Accuracy of medical records in hip fracture | | Author(s) | Kathleen M Fox, Melissa Reuland, William G Hawkes |
| Journal title | Journal of the American Geriatrics Society, vol 46, no 6, June 1998 |
| Pages | pp 745-750 |
| Keywords | Fractures ; Data banks ; United States of America. |
| Annotation | Many studies of health outcomes and patterns of health care provision use administrative health care databases that use information from medical records, however, the accuracy of this information is uncertain. This US study aimed to determine the accuracy of diagnoses and procedure codes in medical records for 343 hip fracture patients. Facesheet diagnosis codes were compared with admission notes, discharge summary and/or progress notes. The abstracted surgical procedure was compared with post-operative radiographs. Results revealed that excess coding of diagnoses on the hospital facesheet was evident in 12% of charts. In 17% of charts, a complication identified in the chart was not coded on the facesheet. More complications with low severity were omitted. Agreement between the abstractor's procedure review and radiograph readings for arthroplasty was 84%. In 15% of patients, the abstractor coded total arthroplasty when hemiarthroplasty was done. The study concluded that these discrepancies may make findings from health outcomes research relying on administrative databases uncertain. (AKM). |
| Accession Number | CPA-981005407 A |
| Classmark | CUF: UVA: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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