A surgeon's journey into the world of IT: the medwebtools.com database

The need for quality data at Worcester Hospital became apparent in the early 2000s when monthly reporting of “surgical wound infections” was introduced by the hospital administration as a quality-of-care indicator in surgical wards. Nursing staff were tasked to capture the data, and an inordinate mo...

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Veröffentlicht in:South African journal of surgery 2022-06, Vol.60 (2), p.148-149
1. Verfasser: Duvenage, R.C
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creator Duvenage, R.C
description The need for quality data at Worcester Hospital became apparent in the early 2000s when monthly reporting of “surgical wound infections” was introduced by the hospital administration as a quality-of-care indicator in surgical wards. Nursing staff were tasked to capture the data, and an inordinate monthly number of “surgical wound infections” were reported directly to hospital management, who entered this into a provincial health information system. Closer scrutiny revealed a system designed without the guidance of surgeons that erroneously collected data on patients with soft tissue infection and diabetic foot sepsis and not as intended only those with surgical site infections. The lesson learnt was poor design means garbage in, and hence you will get garbage out. Clinicians should take the lead in monitoring their specialty-specific outcomes, by starting with a well-defined question and work backwards to enable database design.1,2
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source African Journals Online (Open Access); EZB-FREE-00999 freely available EZB journals
subjects Algorithms
Design
Documentation
Emergency communications systems
Endoscopy
Health care policy
Hospitals
Infection
Information systems
Medical care
Medical informatics
Medical referrals
Patients
Quality management
Relational data bases
Sepsis
Software
Structured Query Language-SQL
Surgeons
Surgical outcomes
Surgical site infections
title A surgeon's journey into the world of IT: the medwebtools.com database
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