Medical Record Review Conduction Model for Improving Interrater Reliability of Abstracting Medical-Related Information

Evaluation and the Health Professions - Tập 32 Số 3 - Trang 281-298 - 2009
Lisa Engel1, Courtney Henderson2, Jennifer Fergenbaum3, Angela Colantonio3
1University of Toronto, ON, Canada
2University of Toronto
3Toronto Rehabilitation Institute University of Toronto,

Tóm tắt

Medical record review (MRR) is often used in clinical research and evaluation, yet there is limited literature regarding best practices in conducting a MRR, and there are few studies reporting interrater reliability (IRR) from MRR data. The aim of this research was twofold: (a) to develop a MRR abstraction tool and standardize the MRR process and (b) to examine the IRR from MRR data. This study introduces the MRR-Conduction Model, which was used to implement a MRR, and examines the IRR between two abstractors who collected preinjury medical and psychiatric, incident-related medical and postinjury head symptom information from the medical records of 47 neurologically injured workers. Results showed that the percentage agreement was ≥85% and the unweighted κ statistic was ≥.60 for most variables, indicating substantial IRR. An effective and reliable MRR to abstract medical-related information requires planning and time. The MRR-Conduction Model is proposed to guide the process of creating a MRR.

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Thông tin xuất bản

Evaluation and the Health Professions

Tập 32 Số 3

281-298

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