title: Data quality of general practice electronic health records: the impact of a program of assessments, feedback, and training.
abstract: OBJECTIVE
  The aim of this study was to investigate the impact of a program of repeated assessments, feedback, and training on the quality of coded clinical data in general practice.
  
  
  METHODS
  A prospective uncontrolled intervention study was conducted in a general practice research network.
  
  
  METHODS
  Percentage of recorded consultations with a coded problem title and percentage of patients receiving a specific drug (e.g., tamoxifen) who had the relevant morbidity code (e.g., breast cancer) were calculated. Annual period prevalence of 12 selected morbidities was compared with parallel data derived from the fourth National Study of Morbidity Statistics from General Practice (MSGP4).
  
  
  RESULTS
  The first two measures showed variation between practices at baseline, but on repeat assessments all practices improved or maintained their levels of coding. The period prevalence figures also were variable, but over time rates increased to levels comparable with, or above, MSGP4 rates. Practices were able to provide time and resources for feedback and training sessions.
  
  
  CONCLUSIONS
  A program of repeated assessments, feedback, and training appears to improve data quality in a range of practices. The program is likely to be generalizable to other practices but needs a trained support team to implement it that has implications for cost and resources.
authors.affiliation: Primary Care Sciences Research Centre, Keele University, UK. m.porcheret@keele.ac.uk
authors.forename: Mark
authors.initials: M
authors.lastname: Porcheret
authors.forename: Rhian
authors.initials: R
authors.lastname: Hughes
authors.forename: Dai
authors.initials: D
authors.lastname: Evans
authors.forename: Kelvin
authors.initials: K
authors.lastname: Jordan
authors.forename: Tracy
authors.initials: T
authors.lastname: Whitehurst
authors.forename: Helen
authors.initials: H
authors.lastname: Ogden
authors.forename: Peter
authors.initials: P
authors.lastname: Croft
mesh_terms: D003200:Computer User Training; D004358:Drug Therapy; D005194:Family Practice / Q000592:standards*; D005568:Forms and Records Control; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000592:standards*; D010818:Practice Patterns, Physicians' / Q000592:standards; D011446:Prospective Studies; D012107:Research Design; D006113:United Kingdom