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BMJ 2003;326 (17 May), doi:10.1136/bmj.326.7398.0-b
Quality measurement of electronic patient records in primary care needs to be standardised. Thiru and colleagues (p 1070) conducted a systematic review of 52 publications on how data quality in primary care is measured and reported. Most (92%) were concerned with patient identification data, and their measurements varied. Reliability was typically measured through rate comparisons, whereas validity was assessed through either sensitivity or predictive probabilities. The recording of diagnostic and prescription data tended to be better than that of other variables. Until every practice is paperless and enters coded data for every consultation, the authors recommend that set reference standards be used to determine completeness and accuracy.
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ANTONIA REEVE/SPL
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