caa a22 4500 397519818 CHVBK 20180308164629.0 cr unu---uuuuu 161202e199509 xx s 000 0 eng 10.1093/intqhc/7.3.267 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.3.267 The Effect of Completeness of Medical Records on the Determination of Appropriateness of Hospital Days [Elektronische Daten] [AMALIA RAMOS-CUADRA, JAVIER MARIÓN-BUEN, MIGUEL GARCÍA-MARTÍN, JOSÉ FERNÁNDEZ-GRACIA, MARÍA DEL CARMEN MORATA-CÉSPEDES, LAURA MARTÍN-MORENO, PABLO LARDELLI-CLARET] Although the Appropriateness Evaluation Protocol (AEP) has been widely used during the past decade, several methodological concerns have not yet been properly resolved, including the possible influence of low completeness of the medical records on the results yielded by the AEP in retrospective studies. We examined medical records for a random sample of 345 patient-days with the AEP, according to a protocol that included several variables potentially related to inappropriateness. The completeness of physician and nursing notes was also assessed. The proportion of inappropriate days of hospitalization was 36.2%. In the crude analysis, significantly higher proportions of inappropriateness were found for lower values of completeness. Factors related to the inappropriateness of stay were summer season, elective admission, no previous admissions, surgical and medical—surgical service in charge, and the day sampled falling within the last third of the hospital stay. Adjustment for the completeness level of medical records did not substantially change the strength of the association between these factors and the inappropriateness of hospital stay. Completeness level itself did not show any significant association with the proportion of inappropriate days in the adjusted analysis. © 1995 Elsevier Science Ltd USE OF THE APPROPRIATENESS EVALUATION PROTOCOL: THE ROLE OF MEDICAL RECORD QUALITY nationallicence Appropriateness evaluation protocol nationallicence quality of medical records nationallicence RAMOS-CUADRA AMALIA Department of Preventive Medicine and Public Health, School of Medicine, University of Granada Granada, Spain aut MARIÓN-BUEN JAVIER Granada University Hospital Granada, Spain aut GARCÍA-MARTÍN MIGUEL Department of Preventive Medicine and Public Health, School of Medicine, University of Granada Granada, Spain aut FERNÁNDEZ-GRACIA JOSÉ Granada University Hospital Granada, Spain aut MORATA-CÉSPEDES MARÍA DEL CARMEN Granada University Hospital Granada, Spain aut MARTÍN-MORENO LAURA Granada University Hospital Granada, Spain aut LARDELLI-CLARET PABLO Department of Preventive Medicine and Public Health, School of Medicine, University of Granada Granada, Spain aut International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 267-275 1353-4505 7:3<267 1995 7 intqhc https://doi.org/10.1093/intqhc/7.3.267 text/html Onlinezugriff via DOI 1 other jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.3.267 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- RAMOS-CUADRA AMALIA Department of Preventive Medicine and Public Health, School of Medicine, University of Granada Granada, Spain aut NATIONALLICENCE 700 1- MARIÓN-BUEN JAVIER Granada University Hospital Granada, Spain aut NATIONALLICENCE 700 1- GARCÍA-MARTÍN MIGUEL Department of Preventive Medicine and Public Health, School of Medicine, University of Granada Granada, Spain aut NATIONALLICENCE 700 1- FERNÁNDEZ-GRACIA JOSÉ Granada University Hospital Granada, Spain aut NATIONALLICENCE 700 1- MORATA-CÉSPEDES MARÍA DEL CARMEN Granada University Hospital Granada, Spain aut NATIONALLICENCE 700 1- MARTÍN-MORENO LAURA Granada University Hospital Granada, Spain aut NATIONALLICENCE 700 1- LARDELLI-CLARET PABLO Department of Preventive Medicine and Public Health, School of Medicine, University of Granada Granada, Spain aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/3(1995-09), 267-275 1353-4505 7:3<267 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford