Developing a precise data collection instrument, implementing a coding manual, and continual communication with research personnel are all tactics for collecting accurate patient medical records. Learn More : https://bit.ly/3x9r0Va Reference: https://pubrica.com/services/medical-data-collection/ Why Pubrica: When you order our services, we promise you the following – Plagiarism free | always on Time | 24*7 customer support | Written to international Standard | Unlimited Revisions support | Medical writing Expert | Publication Support | Bio statistical experts | High-quality Subject Matter Experts.   Contact us:      Web: https://pubrica.com/  Blog: https://pubrica.com/academy/  Email: sales@pubrica.com  WhatsApp : +91 9884350006  United Kingdom: +44-1618186353

1. Research Methodologies that
result in adequate data
Collecting from the patient
Medical Record
An Academic presentation by
Dr. Nancy Agnes, Head, Technical Operations,
Pubrica Group: www.pubrica.com
Email: sales@pubrica.com

2. In brief
Introduction
Strategies for conducting medical record review in
clinical nursing research
Conclusion
About Pubrica
Outline
TODAY'S DISCUSSION

3. Contd...
Clinical research led by nurse investigators
frequently includes data gathered from the
patient medical record.
The rigour
procedures
of the Health data collection
is related to the data's
the study's
dependability and, ultimately
,
analytical output.
IN BRIEF

4. data collection
Developing
instrument,
a precise
implementing a coding manual,
and continual communication with research
collecting
personnel are all tactics for
accurate patient medical records.

5. Nurses undertaking clinical research usually use
the patient medical record as a valuable data
source.
The patient medical record is frequently used
as a primary source of retrospective data for
epidemiological analysis.
INTRODUCTION

6. It is widely observed as the gold standard in any study designed to determine
demographic factors, clinical data variables, specific aspects of treatment regimens,
and, ultimately, patient mortality and morbidity.
Reviewing particular sources within the medical record is required for data
collection and analysis help. Nursing, physician, and consultation notes, as well as
admission and discharge reports, laboratory and diagnostic test results, surgery
reports, and other clinical and administrative paperwork, are included.
This is not an easy task.

7. Before beginning the data gathering endeavour, you must have a solid plan in place.
This article describes tactics that may be used to guarantee that data from the
medical record is collected as efficiently as possible.
Both retrospective and prospective data gathering efforts have effectively proved
the effectiveness of these research methodologies.
The recommended techniques would equip nurse investigators with particular
approaches to help research staff collect patient medical records using a data
collection tool.

9. At least 25% of scientific publications
published in clinical journals use data from
patient medical records obtained through
retrospective chart review.
Retrospective medical record review is a
valuable tool for exploring complex research
problems to answer using prospective studies.
THE UTILITY OF PATIENT MEDICAL RECORD DATA
IN CLINICAL RESEARCH

10. The study of potentially deleterious consequences of exposures and
unusual occurrences in exposures when randomisation is impossible are
examples of these questions.
A medical record review is a helpful tool for examining problems in
perinatal research because of the ethical considerations connected
with research involving vulnerable individuals.

11. Before beginning any medical record data-
gathering project, protocols and criteria for
data abstraction from the medical record must
be devised.
The development and testing of a data
collection tool; the use of a coding manual
guiding health data collection support services
of specific variables from the medical record.
COLLECTING PATIENT MEDICAL RECORD DATA FOR
RESEARCH

12. And (c) the selection, training, management, and ongoing communication
with research staff are all strategies that underpin these protocols and
guidelines (i.e.,data abstractors)
the Research methodologies given to address these three critical aspects
of data abstraction from the medical record.

13. Variables should be reported on the data
collection instrument with a short, unequivocal
response to ensure validity and accuracy of
data gathering.
A categorical response may be assigned when
numerical data is unavailable or acceptable
for a particular research variable.
DETAILED NATURE OF THE DATA TO BE COLLECTED
FROM THE M EDICAL RECORD

14. These replies can record surgical or radiological results and absent or
unknown factors. For the research team gathering data from the medical
record, the categories must be established on the data collection
instrument.
The internal validity and reproducibility of any retrospective study are
dependent on these strategies for standardising the comprehensive
nature of the data collected.

15. A paper document or an electronic record can
be used to collect data. Both forms of data-
collecting technologies have their own set of
advantages and disadvantages.
At the point of data collection, which is often
in the medical records department across
numerous sites,a paper document is frequently
more cost-effective and easier to use.
PAPER OR ELECTRONIC DATA COLLECTION
METHODS

16. The usage of a paper document, on the other hand, necessitates the data
being put into an electronic database for analysis.
Even under ideal conditions, the data input procedure is rife with the
potential for human error
, which can distort analysis and research results.
Electronic data collecting straight into a database reduces the possibility
of data input errors, resulting in more trustworthy image data collection
support and analysis
Furthermore, computerised data-collecting makes centralisation and
management more effortless.

17. STRATEGIES FOR CONDUCTING MEDICAL RECORD
REVIEW IN CLINICAL NURSING RESEARCH

18. Data management is critical during any research project. Data management
becomes more challenging to maintain while performing studies involving many
variables acquired from the medical record across different study locations.
The following attributes may be included in the data management protocol:
scheduled research team meetings with all data abstractors and the study's principal
investigator (PI) or project director (PD); regular, ongoing communication with the
study's PI and PD to resolve questions and data conflicts
And the formation of an independent committee or panel of experts to serve as
consultants to the data abstractors when conflicts arise.

19. The medical record has long been regarded
as a valuable data source for clinical research.
from the medical record, investigators
When conducting prospective and
retrospective clinical studies that use data
must
adopt a strategic approach to data gathering
activities and use a rigorous methodology.
CONCLUSION

20. A deliberate strategy to conduct retrospective chart reviews in clinical nursing
research will generate high-quality data and reliable outcomes.
The creation and testing of a data collecting instrument, the use of a coding manual
to guide multilingual data collection of specific variables from the medical record,
and the selection, training, and management of a research team of data abstractors
are all strategies mentioned in this article.

21. At Pubrica, we collect data from various sources and perform semantic annotation based on
the research questions you want to solve. The vast majority of the data in doctor's notes are
available on Pubrica; electronic medical records, medications, and other related data are also
public.
Although this is where big data's golden opportunity in medical care resides, it's challenging to
yield valuable insights due to complex, unstructured, longitudinal, and voluminous data.
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