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Empowering clinical data collection at the point of care

07 Jul 2015

Introduction

Collecting clinical data has huge benefits, and many bespoke systems have been well supported by clinicians with outputs leading to improved care.1 The National Health Service (NHS) has one of the most comprehensive data collection systems for inpatients in the world (Hospital Episode Statistics). Although the data are used extensively for commissioning and NHS management, few clinicians find the data either accessible or useful.2 This is unfortunate because potentially quality indicators3 could be developed that would significantly enhance quality of care and patient safety. Clinicians have not generally engaged with these data because it is normally extracted after the episode of care from unstructured notes and recorded using the International Classification of Diseases V.10 (ICD-10).4 The end result is deemed too inaccurate for clinician-led research, audit or quality improvement. In truth the data quality is normally good but not sufficiently granular...

Click here to view the full article which appeared in Archives of Disease in Childhood