Reliability of data taken from medical charts.
While it is desirable to conduct clinical research across different institutions using the richness and complexity of daily clinical data from the hospital chart, it is possible only if reliable information can be obtained. This report represents the efforts made by eight collaborating private psychiatric hospitals to devise two instruments to provide reliable rating and notation of clinical information found in the medical record. Such information will spawn future studies of applied clinical research.
D003625:Data Collection / Q000379:methods; D004282:Documentation; D006778:Hospitals, Psychiatric; D008499:Medical Records / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care; D012107:Research Design; D013223:Statistics as Topic; D014481:United States