Frontiers in Pediatrics (Oct 2021)

Data Quality Improvement and Internal Data Audit of the Chinese Neonatal Network Data Collection System

  • Jianhua Sun,
  • Yun Cao,
  • Mingyan Hei,
  • Huiqing Sun,
  • Laishuan Wang,
  • Wei Zhou,
  • Xiafang Chen,
  • Siyuan Jiang,
  • Huayan Zhang,
  • Huayan Zhang,
  • Xiaolu Ma,
  • Hui Wu,
  • Xiaoying Li,
  • Yuan Shi,
  • Xinyue Gu,
  • Yanchen Wang,
  • Tongling Yang,
  • Yulan Lu,
  • Wenhao Zhou,
  • Chao Chen,
  • Shoo K. Lee,
  • Shoo K. Lee,
  • Shoo K. Lee,
  • Shoo K. Lee,
  • Shoo K. Lee,
  • Lizhong Du,
  • The Chinese Neonatal Network,
  • Shoo K. Lee,
  • Chao Chen,
  • Lizhong Du,
  • Wenhao Zhou,
  • Yun Cao,
  • Falin Xu,
  • Xiuying Tian,
  • Huayan Zhang,
  • Yong Ji,
  • Zhankui Li,
  • Jingyun Shi,
  • Xindong Xue,
  • Chuanzhong Yang,
  • Dongmei Chen,
  • Sannan Wang,
  • Ling Liu,
  • Xirong Gao,
  • Hui Wu,
  • Changyi Yang,
  • Shuping Han,
  • Ruobing Shan,
  • Hong Jiang,
  • Gang Qiu,
  • Qiufen Wei,
  • Rui Cheng,
  • Wenqing Kang,
  • Mingxia Li,
  • Yiheng Dai,
  • Lili Wang,
  • Jiangqin Liu,
  • Zhenlang Lin,
  • Yuan Shi,
  • Xiuyong Cheng,
  • Jiahua Pan,
  • Qin Zhang,
  • Xing Feng,
  • Qin Zhou,
  • Long Li,
  • Pingyang Chen,
  • Xiaoying Li,
  • Ling Yang,
  • Deyi Zhuang,
  • Yongjun Zhang,
  • Jianhua Sun,
  • Jinxing Feng,
  • Li Li,
  • Xinzhu Lin,
  • Yinping Qiu,
  • Kun Liang,
  • Li Ma,
  • Liping Chen,
  • Liyan Zhang,
  • Hongxia Song,
  • Zhaoqing Yin,
  • Mingyan Hei,
  • Huiwen Huang,
  • Jie Yang,
  • Dong Li,
  • Guofang Ding,
  • Jimei Wang,
  • Qianshen Zhang,
  • Xiaolu Ma

DOI
https://doi.org/10.3389/fped.2021.711200
Journal volume & issue
Vol. 9

Abstract

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Background: The Chinese Neonatal Network (CHNN) is a nationwide neonatal network that aims to improve clinical neonatal care quality and short- and long-term health outcomes of infants. This study aims to assess the quality of the Chinese Neonatal Network database by conducting an internal audit of data extraction.Methods: A data audit was performed by independently replicating the data collection and entry process in all 58 tertiary neonatal intensive care units (NICU) participating in the CHNN. Eighty-eight data elements selected for re-abstraction were classified into three categories (critical, important, less important), and agreement rates for original and re-abstracted data were predefined. Three to five records were randomly selected at each site for re-abstraction, including one short- (0–7 days), two medium- (8–28 days), and two long-stay (more than 28 days) cases. Agreement rates for each data item were calculated for individual NICUs and across the network, respectively.Results: A total of 283 cases and 24,904 data fields were re-abstracted. The agreement rates for original and re-abstracted data elements were 96.1% overall, and 97.2, 94.3, and 96.6% for critical, important, and less important data elements, respectively. Individual site variation for discrepancies ranged between 0.0 and 18.4% for all collected data elements.Conclusion: The completeness, precision, and quality of data in the CHNN database are high, providing assurance for multipurpose use, including health service evaluation, quality improvement, clinical trials, and other research.

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