220 likes | 240 Views
<br>Developing a precise data collection instrument, implementing a coding manual, and continual communication with research personnel are all tactics for collecting accurate patient medical records.<br><br>Learn More : https://bit.ly/3x9r0Va<br>Reference: https://pubrica.com/services/medical-data-collection/<br><br>
E N D
ResearchMethodologiesthat resultinadequatedata Collectingfromthepatient MedicalRecord AnAcademicpresentation by Dr.NancyAgnes,Head,TechnicalOperations, Pubrica Group: www.pubrica.com Email:sales@pubrica.com
TODAY'SDISCUSSION Outline Inbrief Introduction Strategiesforconductingmedicalrecordreviewin clinicalnursingresearch Conclusion AboutPubrica
INBRIEF Clinical research led by nurse investigators frequentlyincludesdatagatheredfromthe patientmedicalrecord. The rigour procedures of the Health data collection is related to the data's the study's dependability and, ultimately, analyticaloutput. Contd...
Developing instrument, a precise implementinga data collection coding manual, research collecting and continual communication with personnel are all tactics for accuratepatientmedicalrecords.
INTRODUCTION Nursesundertakingclinicalresearchusuallyuse the patient medical record as a valuable data source. The patient medical record is frequently used as a primary source of retrospective data for epidemiologicalanalysis.
Itiswidelyobserved as thegold standard inanystudydesigned todetermine demographic factors, clinical data variables, specific aspects of treatment regimens, and,ultimately,patientmortalityandmorbidity. Reviewingparticularsourceswithinthemedicalrecordis requiredfordata collection and analysis help. Nursing, physician, and consultation notes, as well as admissionand dischargereports,laboratoryand diagnostictestresults,surgery reports,andotherclinicalandadministrative paperwork,areincluded. Thisisnotaneasytask.
Before beginning the data gathering endeavour, you must have a solid plan in place. Thisarticle describes tactics that may be used to guarantee that data from the medicalrecordiscollectedasefficientlyaspossible. Both retrospective and prospective data gathering efforts have effectivelyproved theeffectivenessoftheseresearchmethodologies. Therecommendedtechniqueswouldequipnurseinvestigatorswithparticular approaches to help research staff collect patient medical records using a data collectiontool.
THEUTILITYOFPATIENTMEDICALRECORDDATA INCLINICALRESEARCH Atleast25%ofscientificpublications publishedinclinicaljournalsusedata from patientmedicalrecordsobtainedthrough retrospectivechartreview. Retrospectivemedical recordreviewisa valuable tool for exploring complex research problemstoanswerusingprospectivestudies.
Thestudy of potentially deleterious consequences of exposures and unusual occurrences in exposures when randomisation is impossible are examplesofthesequestions. A medical record review is a helpful tool for examining problems in perinatal research because of theethical considerations connected withresearchinvolving vulnerable individuals.
COLLECTINGPATIENTMEDICALRECORDDATAFOR RESEARCH Beforebeginninganymedicalrecorddata- gatheringproject,protocolsand criteria for data abstraction from the medical record must bedevised. Thedevelopmentandtestingofadata collection tool;theuse of a coding manual guiding health data collection support services ofspecificvariablesfromthemedicalrecord.
And (c) the selection, training, management, and ongoing communication withresearch staff are all strategies that underpin these protocols and guidelines(i.e.,dataabstractors) theResearchmethodologiesgiventoaddressthesethreecriticalaspects ofdataabstractionfromthemedicalrecord.
DETAILEDNATUREOFTHEDATATOBECOLLECTED FROMTHEMEDICALRECORD Variablesshouldbereportedonthedata collection instrument with a short, unequivocal response to ensurevalidityand accuracy of datagathering. A categorical response may be assigned when numericaldata is unavailable oracceptable foraparticularresearch variable.
These replies can record surgical or radiological results and absent or unknown factors. For the research team gathering data from the medical record,thecategoriesmustbeestablishedonthedatacollection instrument. Theinternalvalidityand reproducibility of any retrospective study are dependentonthesestrategiesforstandardisingthecomprehensive natureofthedatacollected.
PAPERORELECTRONICDATACOLLECTION METHODS A paper document or an electronic recordcan be used to collect data. Both forms of data- collecting technologies have their own set of advantagesanddisadvantages. At thepoint of data collection,which is often inthemedicalrecordsdepartmentacross numeroussites,apaperdocumentisfrequently more cost-effectiveandeasiertouse.
The usage of a paper document, on the other hand, necessitates the data beingput intoanelectronicdatabase for analysis. Evenunderideal conditions,thedata inputprocedure isrifewiththe potentialforhuman error,whichcandistortanalysisandresearchresults. Electronic data collecting straight intoa database reduces thepossibility of data input errors, resulting in more trustworthy image data collection supportandanalysis Furthermore,computeriseddata-collectingmakescentralisationand management moreeffortless.
STRATEGIES FORCONDUCTING MEDICAL RECORD REVIEWINCLINICALNURSINGRESEARCH
Datamanagementiscriticalduringanyresearchproject.Datamanagement becomes morechallenging tomaintainwhileperforming studiesinvolving many variablesacquiredfromthemedicalrecordacross different studylocations. Thefollowingattributes maybeincludedinthedatamanagementprotocol: scheduledresearch team meetingswithalldataabstractorsandthestudy's principal investigator (PI) or project director (PD); regular, ongoing communication with the study'sPIandPDtoresolvequestionsanddataconflicts And the formation of an independent committee or panel of experts to serve as consultantstothedataabstractorswhenconflictsarise.
CONCLUSION Themedicalrecordhaslongbeenregarded asavaluable datasourceforclinicalresearch. When conducting prospective and retrospective clinical studies that use data must from the medical record, investigators adoptastrategicapproachtodatagathering activities andusearigorousmethodology.
A deliberatestrategytoconductretrospectivechartreviewsinclinical nursing researchwillgeneratehigh-qualitydataand reliableoutcomes. The creation and testing of a data collecting instrument, the use of a coding manual to guide multilingual data collection of specific variables from the medical record, andtheselection,training,andmanagementofa research teamofdataabstractors areallstrategiesmentionedinthisarticle.
ABOUTPUBRICA At Pubrica, we collect data from various sources and perform semantic annotation based on the research questions you want to solve. The vast majority of the data in doctor's notes are available on Pubrica; electronic medical records, medications, and other related data are also public. Although this is where big data's golden opportunity in medical care resides, it's challenging to yieldvaluableinsightsduetocomplex,unstructured,longitudinal,andvoluminousdata.
ContactUs UNITEDKINGDOM +441618186353 INDIA +91-9884350006 EMAIL sales@pubrica.com