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Data quality assessment in the SWEDEHEART registry : Insights from serial audits on completeness and accuracy

Leosdottir, Margret LU ; Dahlbom, Lars ; Bäck, Maria ; Wallentin, Lars ; Alfredsson, Joakim ; Erlinge, David LU orcid ; Jernberg, Tomas and Hagström, Emil (2025) In American Heart Journal 288. p.149-158
Abstract

Background: Registry data used to monitor clinical care need to be reliable, and the process for assuring data quality transparent. Here the auditing process of the Swedish quality registry for cardiac disease, SWEDEHEART, is described. Methods: SWEDEHEART audits have been performed at 4 time-points in 2011 to 2018, with data quality audited in the 3 largest subregistries covering acute coronary syndromes (ACS), percutaneous coronary interventions (PCI), and cardiac rehabilitation (CR). Data is audited against electronic medical records by 4 controllers, centrally coordinated by a project leader. During the 2011 audit 13/71 (18.3%) of ACS-admitting hospitals and 8/28 (28.6%) of coronary catheterization labs reporting to the registry... (More)

Background: Registry data used to monitor clinical care need to be reliable, and the process for assuring data quality transparent. Here the auditing process of the Swedish quality registry for cardiac disease, SWEDEHEART, is described. Methods: SWEDEHEART audits have been performed at 4 time-points in 2011 to 2018, with data quality audited in the 3 largest subregistries covering acute coronary syndromes (ACS), percutaneous coronary interventions (PCI), and cardiac rehabilitation (CR). Data is audited against electronic medical records by 4 controllers, centrally coordinated by a project leader. During the 2011 audit 13/71 (18.3%) of ACS-admitting hospitals and 8/28 (28.6%) of coronary catheterization labs reporting to the registry were audited. During the 2017 to 2018 audit all reporting sites (100.0%) were audited: 72 hospitals, 30 catheterization labs, and 75 CR centres, with more than 200,000 data points controlled. Results: Overall data completeness in the 2017 to 2018 audit was as follows: SWEDEHEART-ACS 99.1%, SWEDEHEART-PCI 99.2%, and SWEDEHEART-CR 94.5%. The accuracy of registry data compared to electronic medical records was >95.0% for all subregistries at all 4 audits (P for trend < .0001), in 2017 to 2018 as follows: SWEDEHEART-ACS 97.5%, SWEDEHEART-PCI 98.4%, and SWEDEHEART-CR 95.8%. Data most often incomplete or inconsistent were data on time points, self-reported data, and data reliant on complex definitions. Conclusion: The SWEDEHEART registry is a highly complete and accurate source of patient characteristics and processes of care, that can be reliably used for quality improvement such as monitoring quality of care, to compare hospitals at site- and national level, include in international comparisons, and for conducting high-quality registry-based research.

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author
; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
American Heart Journal
volume
288
pages
10 pages
publisher
Mosby-Elsevier
external identifiers
  • scopus:105005497527
  • pmid:40318749
ISSN
0002-8703
DOI
10.1016/j.ahj.2025.04.028
language
English
LU publication?
yes
id
95111083-6174-465f-9f27-8e26d912ef2f
date added to LUP
2025-07-18 08:56:12
date last changed
2025-07-18 08:56:52
@article{95111083-6174-465f-9f27-8e26d912ef2f,
  abstract     = {{<p>Background: Registry data used to monitor clinical care need to be reliable, and the process for assuring data quality transparent. Here the auditing process of the Swedish quality registry for cardiac disease, SWEDEHEART, is described. Methods: SWEDEHEART audits have been performed at 4 time-points in 2011 to 2018, with data quality audited in the 3 largest subregistries covering acute coronary syndromes (ACS), percutaneous coronary interventions (PCI), and cardiac rehabilitation (CR). Data is audited against electronic medical records by 4 controllers, centrally coordinated by a project leader. During the 2011 audit 13/71 (18.3%) of ACS-admitting hospitals and 8/28 (28.6%) of coronary catheterization labs reporting to the registry were audited. During the 2017 to 2018 audit all reporting sites (100.0%) were audited: 72 hospitals, 30 catheterization labs, and 75 CR centres, with more than 200,000 data points controlled. Results: Overall data completeness in the 2017 to 2018 audit was as follows: SWEDEHEART-ACS 99.1%, SWEDEHEART-PCI 99.2%, and SWEDEHEART-CR 94.5%. The accuracy of registry data compared to electronic medical records was &gt;95.0% for all subregistries at all 4 audits (P for trend &lt; .0001), in 2017 to 2018 as follows: SWEDEHEART-ACS 97.5%, SWEDEHEART-PCI 98.4%, and SWEDEHEART-CR 95.8%. Data most often incomplete or inconsistent were data on time points, self-reported data, and data reliant on complex definitions. Conclusion: The SWEDEHEART registry is a highly complete and accurate source of patient characteristics and processes of care, that can be reliably used for quality improvement such as monitoring quality of care, to compare hospitals at site- and national level, include in international comparisons, and for conducting high-quality registry-based research.</p>}},
  author       = {{Leosdottir, Margret and Dahlbom, Lars and Bäck, Maria and Wallentin, Lars and Alfredsson, Joakim and Erlinge, David and Jernberg, Tomas and Hagström, Emil}},
  issn         = {{0002-8703}},
  language     = {{eng}},
  pages        = {{149--158}},
  publisher    = {{Mosby-Elsevier}},
  series       = {{American Heart Journal}},
  title        = {{Data quality assessment in the SWEDEHEART registry : Insights from serial audits on completeness and accuracy}},
  url          = {{http://dx.doi.org/10.1016/j.ahj.2025.04.028}},
  doi          = {{10.1016/j.ahj.2025.04.028}},
  volume       = {{288}},
  year         = {{2025}},
}