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    Hidden labour: The skilful work of clinical audit data collection and its implications for secondary use of data via integrated health IT

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    Publication date
    2021-07-16
    Author
    McVey, Lynn
    Alvarado, Natasha
    Greenhalgh, J.
    Elshehaly, Mai
    Gale, C.P.
    Lake, J.
    Ruddle, R.A.
    Dowding, D.
    Mamas, M.
    Feltbower, R.
    Randell, Rebecca
    Show allShow less
    Keyword
    Clinical audit
    Interoperability
    Data collection
    Data quality
    Electronic patient records
    Registries
    Rights
    (c) 2021 The Authors. This is an Open Access article distributed under the Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/)
    Peer-Reviewed
    Yes
    Open Access status
    Gold
    
    Metadata
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    Abstract
    Background: Secondary use of data via integrated health information technology is fundamental to many healthcare policies and processes worldwide. However, repurposing data can be problematic and little research has been undertaken into the everyday practicalities of inter-system data sharing that helps explain why this is so, especially within (as opposed to between) organisations. In response, this article reports one of the most detailed empirical examinations undertaken to date of the work involved in repurposing healthcare data for National Clinical Audits. Methods: Fifty-four semi-structured, qualitative interviews were carried out with staff in five English National Health Service hospitals about their audit work, including 20 staff involved substantively with audit data collection. In addition, ethnographic observations took place on wards, in ‘back offices’ and meetings (102 hours). Findings were analysed thematically and synthesised in narratives. Results: Although data were available within hospital applications for secondary use in some audit fields, which could, in theory, have been auto-populated, in practice staff regularly negotiated multiple, unintegrated systems to generate audit records. This work was complex and skilful, and involved cross-checking and double data entry, often using paper forms, to assure data quality and inform quality improvements. Conclusions: If technology is to facilitate the secondary use of healthcare data, the skilled but largely hidden labour of those who collect and recontextualise those data must be recognised. Their detailed understandings of what it takes to produce high quality data in specific contexts should inform the further development of integrated systems within organisations.
    URI
    http://hdl.handle.net/10454/18575
    Version
    Published version
    Citation
    McVey L, Alvarado N, Greenhalgh J et al (2021) Hidden labour: The skilful work of clinical audit data collection and its implications for secondary use of data via integrated health IT. BMC Health Services Research. 702: 1-11.
    Link to publisher’s version
    https://doi.org/10.1186/s12913-021-06657-0
    Type
    Article
    Collections
    Engineering and Informatics Publications
    Health Studies Publications

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