Appl Clin Inform - Creation of a hyponatremia registry supported by an industry-derived quality control methodology.

Tópicos

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Resumo

CKGROUND: A clinical registry encompasses a selective set of rigorously collected and stored clinical data focused on a specific condition. Hyponatremia has multiple, complex underlying causes and is one of the most frequent laboratory abnormalities. No systematic registries of hyponatremic patients have been reported in the medical literature. The purpose of this project was to create a registry for hyponatremia in order to obtain epidemiological data that will help to better understand this condition.OBJECTIVE: This paper describes the creation of a registry for hyponatremia within a single institution that employs industry-based approaches for quality management to optimize data accuracy and completeness.METHODS: A prospective registry of incident hyponatremia cases was created for this study. A formalized statistically based quality control methodology was developed and implemented to analyze and monitor all the process indicators that were developed to ensure data quality.RESULTS: Between December 2006 and April 2009, 2443 episodes of hyponatremia were included. Six process indicators that reflect the integrity of the system were evaluated monthly, looking for variation that would suggest systematic problems. The graphical representation of the process measures through control charts allowed us to identify and subsequently address problems with maintaining the registry.CONCLUSION: In this project we have created a novel hyponatremia registry. To ensure the quality of the data in this registry we have implemented a quality control methodology based on industrial principles that allows us to monitor the performance of the registry over time through process indicators in order to detect systematic problems. We postulate that this approach could be reproduced for other registries.

Resumo Limpo

ckground clinic registri encompass select set rigor collect store clinic data focus specif condit hyponatremia multipl complex under caus one frequent laboratori abnorm systemat registri hyponatrem patient report medic literatur purpos project creat registri hyponatremia order obtain epidemiolog data will help better understand conditionobject paper describ creation registri hyponatremia within singl institut employ industrybas approach qualiti manag optim data accuraci completenessmethod prospect registri incid hyponatremia case creat studi formal statist base qualiti control methodolog develop implement analyz monitor process indic develop ensur data qualityresult decemb april episod hyponatremia includ six process indic reflect integr system evalu month look variat suggest systemat problem graphic represent process measur control chart allow us identifi subsequ address problem maintain registryconclus project creat novel hyponatremia registri ensur qualiti data registri implement qualiti control methodolog base industri principl allow us monitor perform registri time process indic order detect systemat problem postul approach reproduc registri

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