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    Patientsmate©: the implementation and evaluation of an online prospective audit system.

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    Authors
    McHugh, Seamus Mark
    Loh, Kah Poh
    Corrigan, Mark Anthony
    Sheikh, Athar
    Lehane, Elaine
    Hill, Arnold David Konrad
    Affiliation
    Research fellow, General Surgery, Department of Surgery, Beaumont Hospital, Dublin, Ireland and Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland Medical Student, Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland Specialist Registrar in General Surgery, Department of Surgery, Beaumont Hospital, Dublin, Ireland and Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland Senior Registrar in General Surgery, Department of Surgery, Beaumont Hospital, Dublin, Ireland Lecturer in Research, Department of Nursing, University College Cork, Cork, Ireland Professor of Surgery, Department of Surgery, Beaumont Hospital, Dublin, Ireland and Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland.
    Issue Date
    2010-11-18
    
    Metadata
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    Citation
    Patientsmate©: the implementation and evaluation of an online prospective audit system. 2010: J Eval Clin Pract
    Journal
    Journal of evaluation in clinical practice
    URI
    http://hdl.handle.net/10147/126117
    DOI
    10.1111/j.1365-2753.2010.01573.x
    PubMed ID
    21087369
    Abstract
    Introduction  Inaccuracy in Hospital Inpatient Enquiry (HIPE)/Casemix-based data has been reported as high as 26%. This results in financial waste and makes effective audit impossible. We aimed to develop a novel web-based outcome audit system. Methods  A web-based online audit system, Patientsmate©, was developed using an integrated database system written in the programme language PHP. Data were inputted by the surgical team responsible for the patients care. A prospective comparison study of the new Patientsmate© and the standard HIPE systems, was performed over a 1-month period and involving two general surgical teams in April 2010. In addition, a Likert-scale based questionnaire was designed and hosted within the Patientsmate© system. A focus group of those clinicians directly involved in data accessing and input were then invited to complete the questionnaire in order to assess usability of the system. Results  During the study period there were a total of 108 patients and 88 procedures. Our study confirms the accuracy of clinician derived data, with the Patientsmate© system more accurately recording number of patients (83% vs. 80.6%), number of procedures (85.2% vs. 68.1%) and hospital day case rate (52% vs. 47.1%). Inputting data using Patientsmate© for a single patient took 6-7 minutes. Of those using the system, 75% reported feeling comfortable after using it once only and 100% were satisfied with the layout of the online interface. Conclusion  The Patientsmate© system allows for increased accuracy in outcome-based data as compared with the HIPE system, facilitating audit, financial savings and the appropriate allocation of services.
    Item Type
    Article In Press
    ISSN
    1365-2753
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1365-2753.2010.01573.x
    Scopus Count
    Collections
    Beaumont Hospital

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