Document Detail


EuCliD--a medical registry.
MedLine Citation:
PMID:  15026844     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The European Clinical Database EuCliD small star, filled has been developed as a tool for supervising selected quality indicators of about 200 European dialysis centers. Major efforts had to be made to comply with local and European laws regarding data security. METHOD: EuCliD is a Lotus Notes based flat-file database currently containing medical data of more than 14,000 dialysis patients from 10 European countries. Another 15,000 patients from 150 centers in 4 South-American countries will be added soon. Data are entered either manually or by means of interfaces to existing local data managing systems. This information is transferred to a central Lotus Notes Server. Data evaluation was performed with statistical tools like SPSS. RESULTS: EuCliD is used as a part of the CQI (Continuous Quality Improvement) management system of Fresenius Medical Care (FMC) dialysis units. Each participating dialysis center receives (currently every half year) benchmarking reports at a regular interval. The benchmark for all quality parameters is the weighted mean of the corresponding data of all centers. CONCLUSIONS: An obvious impact of data sampling and data evaluation on the quality of the treatments could be observed within the first one and a half years of working with EuCliD. This also concerns important outcome predictors like Kt/V and hemoglobin concentration as the outcome itself expressed in hospitalization days and survival rates. With the help of EuCliD the user is able to sample clinical data, identify problems, search for solutions with the aim of improving the dialysis treatment quality and guarantee a high-class treatment quality for all patients.
Authors:
H Steil; C Amato; C Carioni; J Kirchgessner; D Marcelli; A Mitteregger; V Moscardo; G Orlandini; E Gatti
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Methods of information in medicine     Volume:  43     ISSN:  0026-1270     ISO Abbreviation:  Methods Inf Med     Publication Date:  2004  
Date Detail:
Created Date:  2004-03-17     Completed Date:  2004-05-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0210453     Medline TA:  Methods Inf Med     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  83-8     Citation Subset:  IM    
Affiliation:
Fresenius Medical Care Deutschland GmbH, Department CME, 61346 Bad Homburg, Germany. helmut.steil@fmc-ag.de
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MeSH Terms
Descriptor/Qualifier:
Benchmarking*
Database Management Systems*
Europe / epidemiology
Humans
Kidney Failure, Chronic / mortality,  therapy*
Quality Indicators, Health Care*
Registries*
Renal Dialysis / standards*
Software
Survival Analysis
Total Quality Management

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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