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Titolo:
Reliability and validity of the intercollegiate Stroke Audit Package
Autore:
Gompertz, PH; Irwin, P; Morris, R; Lowe, D; Rutledge, Z; Rudd, AG; Pearson, MG;
Indirizzi:
Tower Hamlets Healthcare Trust, London, England Tower Hamlets Healthcare Trust London England re Trust, London, England Royal Coll Phys, Clin Effectiveness & Evaluat Unit, London NW1 4LE, England Royal Coll Phys London England NW1 4LE uat Unit, London NW1 4LE, England Royal Free & Univ Coll Med Sch, Dept Primary Care & Populat Sci, London, England Royal Free & Univ Coll Med Sch London England ulat Sci, London, England Royal Coll Phys, Intercollegiate Stroke Working Party, London NW1 4LE, England Royal Coll Phys London England NW1 4LE ng Party, London NW1 4LE, England Guys & St Thomas Hosp, London SE1 9RT, England Guys & St Thomas Hosp London England SE1 9RT sp, London SE1 9RT, England Aintree Hosp, Liverpool, Merseyside, England Aintree Hosp Liverpool Merseyside England Liverpool, Merseyside, England
Titolo Testata:
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
fascicolo: 1, volume: 7, anno: 2001,
pagine: 1 - 11
SICI:
1356-1294(200102)7:1<1:RAVOTI>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
CARE; QUALITY;
Keywords:
audit; interdisciplinary; inter-rater; reliability; stroke; validity;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Gompertz, PH Mile End Hosp, DHCE, Bancroft Rd, London E1 4DG, England MileEnd Hosp Bancroft Rd London England E1 4DG 4DG, England
Citazione:
P.H. Gompertz et al., "Reliability and validity of the intercollegiate Stroke Audit Package", J EVAL CL P, 7(1), 2001, pp. 1-11

Abstract

The aim of this study was to assure the validity and reliability of the Intercollegiate Stroke Audit Package as used in the National Sentinel Audit of Stroke. The Intercollegiate Working Party for Stroke, which included moststakeholders, including patients, devised the audit standards. These were submitted to a formal consensus (modified Delphi) survey before the audit questions were developed and piloted for validity and reliability. Followingthe pilot, Help Booklets were developed to promote the involvement of all disciplines as auditors in the national sentinel audit of stroke and ensureinter-rater reliability. During the national audit each Trust was asked todouble rate the first five cases with auditors of different disciplines working independently. A total of 886 case notes were double-rated in 184 separate sites (median 5, range 1-5 per site). Trusts used auditors from different disciplines in 77% of cases. After excluding the 'No answer' cases thekappa score for items ranged from 0.49 to 0.87 (median 0.70, IQR 0.63-0.78). Very good agreement was found for seven of the 45 items, good agreement for 30 items, and moderate agreement for eight items. This large study, across a range of hospital sites and involving many disciplines, demonstrates that careful piloting of audit tools, with use of clear instructions to auditors, promotes the reliability of data.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/04/20 alle ore 19:00:31