Cohort profile: Data standards for cardiac rehabilitation structure and processes for the SWEDEHEART cardiac rehabilitation (SWEDEHEART-CR) registry

Data standards for quality registries should be evidence-based and follow guideline recommendations. To optimally monitor quality of care, not only patient-level variables, but also centre-level variables need to be included. Here we describe the development of variables to audit the structure and p...

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Veröffentlicht in:PloS one 2023, Vol.18 (11), p.e0293840-e0293840
Hauptverfasser: Leosdottir, Margret, Bäck, Maria, Dahlbom, Lars, Ekström, Mattias, Lindahl, Bertil, Hagström, Emil
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container_start_page e0293840
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creator Leosdottir, Margret
Bäck, Maria
Dahlbom, Lars
Ekström, Mattias
Lindahl, Bertil
Hagström, Emil
description Data standards for quality registries should be evidence-based and follow guideline recommendations. To optimally monitor quality of care, not only patient-level variables, but also centre-level variables need to be included. Here we describe the development of variables to audit the structure and processes in cardiac rehabilitation for patients after myocardial infarction, and the resulting data standards to be implemented in the Swedish quality registry for cardiac disease, SWEDEHEART. The methodology used for the development of international clinical data standards for the European Unified Registries for Heart Care Evaluation and Randomised Trials (EuroHeart) was followed. Based on national guidelines for secondary prevention, candidate variables were prepared, after which a multiprofessional expert group on cardiac rehabilitation selected key variables and assured face validity. An external reference group had the role of peer reviewing, ascertaining content validity and test-retest reliability. The process has resulted in 30 data standards to be introduced into the SWEDEHEART cardiac rehabilitation registry and administered on centre-level biannually. The data standards include measures of human resources, centre requirements and process-based metrics. Including registry variables which audit centre-level structure and processes is essential to improve benchmarking and standardize monitoring of quality of care, covering both services provided and patient outcomes.
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subjects Analysis
Audits
Cardiac and Cardiovascular Systems
Cardiology
Cardiovascular disease
Cardiovascular diseases
Care and treatment
Clinical Medicine
Clinical outcomes
Clinical trials
Consent
Coronary artery disease
Data science
Diabetes
Diagnosis
Disease prevention
Drug therapy
Ethics
Exercise
Heart diseases
Kardiologi
Klinisk medicin
Lifestyles
Medical and Health Sciences
Medical records
Medicin och hälsovetenskap
Medicine and Health Sciences
Myocardial infarction
Nurses
Patients
People and places
Psychologists
Quality standards
Rehabilitation
Review boards
Risk factors
Variables
Working groups
title Cohort profile: Data standards for cardiac rehabilitation structure and processes for the SWEDEHEART cardiac rehabilitation (SWEDEHEART-CR) registry
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