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Data accuracy in the Ontario birth Registry: a chart re-abstraction study.

Abstract：

BACKGROUND:Ontario's birth Registry (BORN) was established in 2009 to collect, interpret, and share critical data about pregnancy, birth and the early childhood period to facilitate and improve the provision of healthcare. Since the use of routinely-collected health data has been prioritized internationally by governments and funding agencies to improve patient care, support health system planning, and facilitate epidemiological surveillance and research, high quality data is essential. The purpose of this study was to verify the accuracy of a selection of data elements that are entered in the Registry. METHODS:Data quality was assessed by comparing data re-abstracted from patient records to data entered into the Ontario birth Registry. A purposive sample of 10 hospitals representative of hospitals in Ontario based on level of care, birth volume and geography was selected and a random sample of 100 linked mother and newborn charts were audited for each site. Data for 29 data elements were compared to the corresponding data entered in the Ontario birth Registry using percent agreement, kappa statistics for categorical data elements and intra-class correlation coefficients (ICCs) for continuous data elements. RESULTS:Agreement ranged from 56.9 to 99.8%, but 76% of the data elements (22 of 29) had greater than 90% agreement. There was almost perfect (kappa 0.81-0.99) or substantial (kappa 0.61-0.80) agreement for 12 of the categorical elements. Six elements showed fair-to-moderate agreement (kappa <0.60). We found moderate-to-excellent agreement for four continuous data elements (ICC >0.50). CONCLUSION:Overall, the data elements we evaluated in the birth Registry were found to have good agreement with data from the patients' charts. Data elements that showed moderate kappa or low ICC require further investigation.

journal_name

BMC Health Serv Res

journal_title

BMC health services research

authors

Dunn S,Lanes A,Sprague AE,Fell DB,Weiss D,Reszel J,Taljaard M,Darling EK,Graham ID,Grimshaw JM,Harrold J,Smith GN,Peterson W,Walker M

doi

10.1186/s12913-019-4825-3

subject

Has Abstract

pub_date

2019-12-27 00:00:00

pages

1001

issue

issn

1472-6963

pii

10.1186/s12913-019-4825-3

journal_volume

pub_type

杂志文章

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Data accuracy in the Ontario birth Registry: a chart re-abstraction study.