Research Electronic Data Capture (REDCap ®) used as an audit tool with a built-in database

Publication date: Available online 9 April 2018 Source:Journal of Biomedical Informatics Author(s): Signe H. Kragelund, Mona Kjærsgaard, Søren Jensen-Fangel, Rita A. Leth, Nina Ank The aim of this study was to develop an audit tool with a built-in database using Research Electronic Data Capture (REDCap®) as part of an antimicrobial stewardship program at a regional hospital in the Central Denmark Region, and to analyse the need, if any, to involve more than one expert in the evaluation of cases of antimicrobial treatment, and the level of agreement among the experts. Patients treated with systemic antimicrobials in the period from 1 September 2015 to 31 August 2016 were included, in total 722 cases. Data were collected retrospectively and entered manually. The audit was based on seven flow charts regarding: 1) initiation of antimicrobial treatment 2) infection 3) prescription and administration of antimicrobials 4) discontinuation of antimicrobials 5) reassessment within 48 hours after the first prescription of antimicrobials 6) microbiological sampling in the period between suspicion of infection and the first administration of antimicrobials 7) microbiological results. The audit was based on automatic calculations drawing on the entered data and on expert assessments. Initially, two experts completed the audit, and in the cases in which they disagreed, a third expert was consulted. In 31.9% of the cases, the two experts agreed on all elements of the audit. In 66.2...
Source: Journal of Biomedical Informatics - Category: Information Technology Source Type: research