Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2020

Open Access 01-12-2020 | Research article

Implementation and quality assessment of a clinical orthopaedic registry in a public hospital department

Authors: Binglong Lee, Milad Ebrahimi, Nalan Ektas, Chee Han Ting, MacDougal Cowley, Corey Scholes, Christopher Bell

Published in: BMC Health Services Research | Issue 1/2020

Login to get access

Abstract

Background

The aim of this study was to demonstrate a novel method of assessing data quality for an orthopaedic registry and its effects on data quality metrics.

Methods

A quality controlled clinical patient registry was implemented, comprising six observational cohorts of shoulder and knee pathologies. Data collection procedures were co-developed with clinicians and administrative staff in accordance with the relevant dataset and organised into the registry database software. Quality metrics included completeness, consistency and validity. Data were extracted at scheduled intervals (3 months) and quality metrics reported to stakeholders of the registry.

Results

The first patient was enrolled in July 2017 and the data extracted for analysis over 4 quarters, with the last audit in August 2018 (N = 189). Auditing revealed registry completeness was 100% after registry deficiencies were addressed. However, cohort completeness was less accurate, ranging from 12 to 13% for height & weight to 90–100% for operative variables such as operating surgeon, consulting surgeon and hospital. Consistency and internal validation improved to 100% after issues in registry processes were rectified.

Conclusions

A novel method to assess data quality in a clinical orthopaedic registry identified process shortfalls and improved data quality over time. Real-time communication, a comprehensive data framework and an integrated feedback loop were necessary to ensure adequate quality assurance. This model can be replicated in other registries and serve as a useful quality control tool to improve registry quality and ensure applicability of the data to aid clinical decisions, especially in newly implemented registries.

Trial registration

ACTRN12617001161​314; registration date 8/08/2017. Retrospectively registered.
Appendix
Available only for authorised users
Literature
1.
Gliklich R, Dreyer N, Leavy M, editors. Registries for evaluating patient outcomes: a User’s guide. Rockville: Agency for Healthcare Research and Quality; 2014.
2.
Gomes LSM, Roos MV, Takata ET, Schuroff AA, Alves SD, Camisa Júnior A, et al. Advantages and limitations of national arthroplasty registries. The need for multicenter registries: the Rempro-SBQ. Rev Bras Ortop. 2017;52(Suppl 1):3–13.CrossRef
3.
Ahn H, Court-Brown CM, McQueen MM, Schemitsch EH. The use of hospital registries in orthopaedic surgery. J Bone Joint Surg Am. 2009;91(Suppl 3):68–72.CrossRef
4.
Arts DGT, De Keizer NF, Scheffer G-J. Defining and improving data quality in medical registries: a literature review, case study, and generic framework. J Am Med Inform Assoc. 2002;9(6):600–11.CrossRef
5.
Hammer GP, du Prel J-B, Blettner M. Avoiding bias in observational studies: part 8 in a series of articles on evaluation of scientific publications. Dtsch Arztebl Int. 2009;106(41):664–8.PubMedPubMedCentral
6.
Sedgwick P. Bias in observational study designs: prospective cohort studies. BMJ. 2014;349:g7731.CrossRef
7.
Torre M, Romanini E, Zanoli G, Carrani E, Luzi I, Leone L, et al. Monitoring outcome of joint Arthroplasty in Italy: implementation of the National Registry. Joints. 2017;5(2):70–8.CrossRef
8.
Seagrave KG, Naylor J, Armstrong E, Leong K-M, Descallar J, Harris IA. Data quality audit of the arthroplasty clinical outcomes registry NSW. BMC Health Serv Res. 2014;14:512.CrossRef
9.
Barr CJ, Barbalace RJ, Wessinger SJ, Bragdon CR, Kwon Y-M, Malchau H. Validation of a hospital-based joint registry: quantification of errors and maximizing utility. J Arthroplast. 2012;27(10):1766–71.CrossRef
10.
Espehaug B, Furnes O, Havelin LI, Engesaeter LB, Vollset SE, Kindseth O. Registration completeness in the Norwegian Arthroplasty register. Acta Orthop. 2006;77(1):49–56.CrossRef
11.
Fender D, Harper WM, Gregg PJ. The Trent regional arthroplasty study. Experiences with a hip register. J Bone Joint Surg (Br). 2000;82(7):944–7.CrossRef
12.
Arthursson AJ, Furnes O, Espehaug B, Havelin LI, Söreide JA. Validation of data in the Norwegian Arthroplasty register and the Norwegian patient register: 5,134 primary total hip arthroplasties and revisions operated at a single hospital between 1987 and 2003. Acta Orthop. 2005;76(6):823–8.CrossRef
13.
Bautista MP, Bonilla GA, Mieth KW, Llinás AM, Rodríguez F, Cárdenas LL, et al. Data quality in institutional Arthroplasty registries: description of a model of validation and report of preliminary results. J Arthroplast. 2017;32(7):2065–9.CrossRef
14.
Liu M, Wronski L. Examining completion rates in web surveys via over 25,000 real-world surveys. Soc Sci Comput Rev. 2018;36(1):116–24.CrossRef
15.
Nguyen J, Marx R, Hidaka C, Wilson S, Lyman S. Validation of electronic administration of knee surveys among ACL-injured patients. Knee Surg Sports Traumatol Arthrosc. 2017;25(10):3116–22.CrossRef
16.
Griffiths-Jones W, Norton MR, Fern ED, Williams DH. The equivalence of remote electronic and paper patient reported outcome (PRO) collection. J Arthroplast. 2014;29(11):2136–9.CrossRef
17.
Gakhar H, McConnell B, Apostolopoulos AP, Lewis P. A pilot study investigating the use of at-home, web-based questionnaires compiling patient-reported outcome measures following total hip and knee replacement surgeries. J Long-Term Eff Med Implants. 2013;23(1):39–43.
Metadata
Title
Implementation and quality assessment of a clinical orthopaedic registry in a public hospital department
Authors
Binglong Lee
Milad Ebrahimi
Nalan Ektas
Chee Han Ting
MacDougal Cowley
Corey Scholes
Christopher Bell
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2020
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-020-05203-8

Other articles of this Issue 1/2020

BMC Health Services Research 1/2020 Go to the issue

Research article

Factors to consider during the implementation of nutrition and physical activity trials for people with psychotic illness into an Australian community setting

Research article

The barriers and facilitators to implementing dementia education and training in health and social care services: a mixed-methods study

Research article

Common mental disorders and its associated factors and mental health care services for Ethiopian labour migrants returned from Middle East countries in Addis Ababa, Ethiopia

Research article

The experience of health and welfare workers in identifying and responding to domestic abuse among military personnel in the UK

Research article

A needs assessment for postgraduate training in selected public health disciplines: evidence from health services organisations in Lusaka, Zambia

Research article

Beyond coverage: a qualitative study exploring the perceived impact of Gabon’s health insurance plan on access to and quality of prenatal care