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Structured Chart Review: Assessment of a Structured Chart Review Methodology.
- Source :
-
Hospital pediatrics [Hosp Pediatr] 2020 Jan; Vol. 10 (1), pp. 61-69. - Publication Year :
- 2020
-
Abstract
- Background and Objectives: Chart reviews are frequently used for research, care assessments, and quality improvement activities despite an absence of data on reliability and validity. We aim to describe a structured chart review methodology and to establish its validity and reliability.<br />Methods: A generalizable structured chart review methodology was designed to evaluate causes of morbidity or mortality and to identify potential therapeutic advances. The review process consisted of a 2-tiered approach with a primary review completed by a site physician and a short secondary review completed by a central physician. A total of 327 randomly selected cases of known mortality or new morbidities were reviewed. Validity was assessed by using postreview surveys with a Likert scale. Reliability was assessed by percent agreement and interrater reliability.<br />Results: The primary reviewers agreed or strongly agreed in 94.9% of reviews that the information to form a conclusion about pathophysiological processes and therapeutic advances could be adequately found. They agreed or strongly agreed in 93.2% of the reviews that conclusions were easy to make, and confidence in the process was 94.2%. Secondary reviewers made modifications to 36.6% of cases. Duplicate reviews ( n = 41) revealed excellent percent agreement for the causes (80.5%-100%) and therapeutic advances (68.3%-100%). κ statistics were strong for the pathophysiological categories but weaker for the therapeutic categories.<br />Conclusions: A structured chart review by knowledgeable primary reviewers, followed by a brief secondary review, can be valid and reliable.<br />Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.<br /> (Copyright © 2020 by the American Academy of Pediatrics.)
Details
- Language :
- English
- ISSN :
- 2154-1671
- Volume :
- 10
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Hospital pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 31879317
- Full Text :
- https://doi.org/10.1542/hpeds.2019-0225