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Valutazione della qualità delle schede di dimissione ospedaliera

Azara, Antonio Alfredo and Maida, Ivana Rita and Acciaro, Marco and Pes, M. and Sotgiu, Giovanni and Solinas, Maria Giuliana (2000) Valutazione della qualità delle schede di dimissione ospedaliera. View & review hospital, Vol. 1 , p. 16-21. ISSN 1124-3449. Article.

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Abstract

Objectives: To verify the Hospital Discharge Records (SDO) reliability and completeness as informative tool in order to improve Health Cares.
Methods: We carried out the activity in two Care Units, during two years. 632 SDO have been sampled out of the total of 3,004. A careful revision of the medical records and the SDO recompilation by the Health Management and it’s comparison with the SDOs from the Units were carried out to roll out possible errors in compilation.
Results: The error percentage ranged between 54.1 and 68.4 according to the examined variable. The most common error was the lack of secondary diagnosis. The SDO revision has allowed an increment of quality markers (mean number of diagnosis +63%, mean number of interventions and/or procedures +17%, case-mix index +17%) as well as an incremental gain of 5.2%.
Conclusions: The present study has shown that it is necessary giving reater care in the SDO compilation, to increase the real quality of the work performed and improving the available sources for Health Services.

Item Type:Article
ID Code:7084
Status:Published
Refereed:Yes
Uncontrolled Keywords:Hospital discharge, records, DRG, quality assessment
Subjects:Area 06 - Scienze mediche > MED/42 Igiene generale e applicata
Area 06 - Scienze mediche > MED/17 Malattie infettive
Area 06 - Scienze mediche > MED/01 Statistica medica
Divisions:001 Università di Sassari > 01 Dipartimenti > Scienze biomediche
001 Università di Sassari > 03 Istituti > Malattie infettive e parassitarie
001 Università di Sassari > 03 Istituti > Igiene e medicina preventiva
Publisher:Kailash / Kappadue
ISSN:1124-3449
Copyright Holders:2000 © copyright by Edizioni Kappadue s.r.l.
Deposited On:09 Feb 2012 16:53

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