Research strategies that result in optimal data collection from the patient medical record

Appl Nurs Res. 2012 May;25(2):108-16. doi: 10.1016/j.apnr.2010.02.004. Epub 2010 Apr 9.

Abstract

Data obtained from the patient medical record are often a component of clinical research led by nurse investigators. The rigor of the data collection methods correlates to the reliability of the data and, ultimately, the analytical outcome of the study. Research strategies for reliable data collection from the patient medical record include the development of a precise data collection tool, the use of a coding manual, and ongoing communication with research staff.

MeSH terms

  • Clinical Coding / organization & administration*
  • Clinical Nursing Research / methods*
  • Clinical Nursing Research / organization & administration
  • Data Collection / methods*
  • Humans
  • Medical Records* / classification
  • Reproducibility of Results
  • Research Design