TY - JOUR PY - 2009// TI - Medical Record Review Conduction Model for Improving Interrater Reliability of Abstracting Medical-Related Information JO - Evaluation and the health professions A1 - Engel, Lisa A1 - Henderson, Courtney A1 - Fergenbaum, Jennifer A1 - Colantonio, A. SP - 281 EP - 298 VL - 32 IS - 3 N2 - Medical record review (MRR) is often used in clinical research and evaluation, yet there is limited literature regarding best practices in conducting a MRR, and there are few studies reporting interrater reliability (IRR) from MRR data. The aim of this research was twofold: (a) to develop a MRR abstraction tool and standardize the MRR process and (b) to examine the IRR from MRR data. This study introduces the MRR-Conduction Model, which was used to implement a MRR, and examines the IRR between two abstractors who collected preinjury medical and psychiatric, incident-related medical and postinjury head symptom information from the medical records of 47 neurologically injured workers. Results showed that the percentage agreement was ≥85% and the unweighted κ statistic was ≥.60 for most variables, indicating substantial IRR. An effective and reliable MRR to abstract medical-related information requires planning and time. The MRR-Conduction Model is proposed to guide the process of creating a MRR.
LA - SN - 0163-2787 UR - http://dx.doi.org/10.1177/0163278709338561 ID - ref1 ER -