Development of peer review system using patient records for outcome evaluation of medical education

• Project/Area Number: 22590448
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Medical sociology
• Research Institution: Tohoku University
• Principal Investigator: KAMEOKA Junichi 東北大学, 大学院・医学系研究科, 准教授 (30261621)
• Co-Investigator(Renkei-kenkyūsha): KANATSUKA Hiroshi 東北大学, 大学院・医学系研究科, 教授 (80214435) ; ISHII Seiichi 東北大学, 大学院・医学系研究科, 准教授 (60221066)
• Project Period (FY): 2010 – 2012
• Project Status: Completed (Fiscal Year 2012)
• Budget Amount: ¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000); Fiscal Year 2012: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2011: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000); Fiscal Year 2010: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 医学教育 / アウトカム評価

Research Abstract

To establish a reliable peer review system of medical records, we developed an evaluation sheet consisting of 14 items (3-point scale) for record keeping and 15 items (5-point scale) for quality of care. Medical records of randomly-selected 112 patients were reviewed by four reviewers according to the evaluation sheet. The average measure intraclass correlation for reviewers was 0.917 (95% confidence interval, 0.912-0.921). This system proved feasible with high reliability for assessing patient careperformances.

Research Products

• [Presentation] Reliability analysis of medical record review for assessing patient care performances (2013)
  • Author(s): Junichi Kameoka, Mitsunori Miyashita, Tomoya Okubo, Emi Koguma, Seiichi Ishii, Hiroshi Kanatsuka
  • Organizer: AMEE: An International Association for Medical Education
  • Place of Presentation: Prague, Czech Republic(発表確定)
• [Presentation] アウトカム評価としての診療録ピアレビューシステムの信頼性の検討-第2報- (2013)
  • Author(s): 亀岡淳一、宮下光令、大久保智哉、小熊絵美、高橋文恵、石井誠一、金塚完
  • Organizer: 第45回日本医学教育学会総会
  • Place of Presentation: 千葉大学(発表確定)
• [Presentation] アウトカム評価としての診療録ピアレビューシステムの信頼性の検討 (2013)
  • Author(s): 亀岡淳一、宮下光令、大久保智哉、小熊絵美、高橋文恵、石井誠一、金塚完
  • Organizer: 第15回日本医療マネジメント学会学術総会
  • Place of Presentation: 岩手県立中央病院(発表確定)
• [Presentation] Reliability analysis of medical record review for assessing patient care performances (2013)
  • Author(s): Junichi Kameoka
  • Organizer: AMEE: An International Association for Medical Education
  • Place of Presentation: Prague, Czech Republic
• [Presentation] Cause and outcome of medical students' delayed graduation in Tohoku University School of Medicine for the past 33 years (2012)
  • Author(s): Junichi Kameoka, et al
  • Organizer: 15th Ottawa Conference (Assessment of Competence in Medicine and the Healthcare Professions)
  • Place of Presentation: Kuala Lumpur Convention Centre, Malaysia
  • Year and Date: 2012-03-13
• [Presentation] アウトカム評価としての診療録ピアレビューシステムの信頼性の検討 (2012)
  • Author(s): 亀岡淳一、宮下光令、小熊絵美、高橋文恵、田中克典、石井誠一、金塚完
  • Organizer: 第44回日本医学教育学会総会
  • Place of Presentation: 慶應義塾大学日吉キャンパス
• [Presentation] アウトカム評価としての診療録ピアレビューシステムの信頼性の検討 (2012)
  • Author(s): 亀岡淳一
  • Organizer: 第44回日本医学教育学会総会
  • Place of Presentation: 慶應義塾大学 日吉キャンパス