Data Quality Assessment and Recommendations to Improve the Quality of Hemodialysis Database
Journal Title: Journal of Health Management and Informatics - Year 2018, Vol 5, Issue 1
Abstract
Introduction: Since clinical data contain abnormalities, quality assessment and reporting of data errors are necessary. Data quality analysis consists of developing strategies, making recommendations to avoid future errors and improving the quality of data entry by identifying error types and their causes. Therefore, this approach can be extremely useful to improve the quality of the databases. The aim of this study was to analyze hemodialysis (HD) patients’ data in order to improve the quality of data entry and avoid future errors. Method: The study was done on Shiraz University of Medical Sciences HD database in 2015. The database consists of 2367 patients who had at least 12 months follow up (22.34±11.52 months) in 2012-2014. Duplicated data were removed; outliers were detected based on statistical methods, expert opinion and the relationship between variables; then, the missing values were handled in 72 variables by using IBM SPSS Statistics 22 in order to improve the quality of the database. According to the results, some recommendations were given to improve the data entry process. Results: The variables had outliers in the range of 0-9.28 percent. Seven variables had missing values over 20 percent and in the others they were between 0 and 19.73 percent. The majority of missing values belong to serum alkaline phosphatase, uric acid, high and low density lipoprotein, total iron binding capacity, hepatitis B surface antibody titer, and parathyroid hormone. The variables with displacement (the values of two or more variables were recorded in the wrong attribute) were weight, serum creatinine, blood urea nitrogen, systolic and diastolic blood pressure. These variables may lead to decreased data quality. Conclusion: According to the results and expert opinion, applying some data entry principles, such as defining ranges of values, using the relationship between hemodialysis features, developing alert systems about empty or duplicated data and entering directly HD data or lab results into the database can improve the data quality drastically. Experts' opinion in detecting outliers as a complement to statistical methods can have an effective role in detection of real outliers. For the analysis of HD databases, the relationship between the variables because of their effect on the quality should be focused more to improve the quality of the database.
Authors and Affiliations
Neda Firouraghi, Shahrokh Ezzatzadegan Jahromi, Ashkan Sami, Mohamad Reza Morvaridi, Roxana Sharifian
Keywords
Related Articles
- EP ID EP305154
- DOI -
- Views 140
- Downloads 0
The use of resource allocation approach for hospitals based on the initial efficiency by using data envelopment analysis
Introduction: Recourse allocation is very important in today’s highly competitive environment to enhance the quality and reduce costs due to limited resources and unlimited needs of the society. The aim of this study was...
The Relationship of Environmental Architecture with the Level of Job Satisfaction and Productivity among the Employees of Islamic Azad University, Shiraz Branch
Introduction: This study was designed to investigate the relationship of the environmental architecture and job satisfaction with productivity in the staff of Azad universities. Methods: In this cross-sectional descripti...
Readiness of Shiraz teaching hospitals to implement Electronic Medical Record (EMR)
Introduction: Due to the importance of Electronic Medical Record (EMR) in the quality of health care services, checking the readiness of hospitals to implement it is a vital step to define success or failure of the Elect...
A study of communication skills in health care management students and its association with demographic characteristics
Introduction: Communication skills are one of the most important skills for health care managers and play an important role in their personal life and future occupation. The present study aimed to evaluate the students’...
Data Quality Assessment and Recommendations to Improve the Quality of Hemodialysis Database
Introduction: Since clinical data contain abnormalities, quality assessment and reporting of data errors are necessary. Data quality analysis consists of developing strategies, making recommendations to avoid future erro...