The Value of Auditing Surgical Records in a Tertiary Hospital Setting.

Autor:	Alqudah M; Faculty of Medicine, The University of Jordan, Amman, JOR., Aloqaily M; Faculty of Medicine, The University of Jordan, Amman, JOR., Rabadi A; Faculty of Medicine, The University of Jordan, Amman, JOR., Nimer A; Faculty of Medicine, The University of Jordan, Amman, JOR., Abdel Hafez S; Faculty of Medicine, Jordan University Hospital, Amman, JOR., Almomani A; Faculty of Medicine, The University of Jordan, Amman, JOR., Alkhlaifat NS; Internal Medicine, Jordan University Hospital, Amman, JOR., Aldurgham A; Internal Medicine, Jordan University Hospital, Amman, JOR., Al-Momani A; Faculty of Medicine, The University of Jordan, Amman, JOR., Fraij Z; Faculty of Medicine, The University of Jordan, Amman, JOR., Aloqaily W; Faculty of Medicine, The University of Jordan, Amman, JOR., Bani Abedelrahman L; Faculty of Medicine, The University of Jordan, Amman, JOR., AlShati A; Faculty of Medicine, The University of Jordan, Amman, JOR., Jabaiti S; General Surgery, The University of Jordan, Amman, JOR., Bani Hani A; General Surgery, Jordan University Hospital, Amman, JOR., Abu Abeeleh M; General Surgery, The University of Jordan, Amman, JOR.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2022 Jan 10; Vol. 14 (1), pp. e21066. Date of Electronic Publication: 2022 Jan 10 (Print Publication: 2022).
DOI:	10.7759/cureus.21066
Abstrakt:	Background: Assessing and improving quality of care should be of paramount importance to health care systems and providers. This study aimed to evaluate the quality of surgical records at the Jordan University Hospital. Methods: We used the previously validated Surgical Tool for Auditing Records (STAR) to retrospectively evaluate the quality of surgical records of patients who underwent surgery in the general surgery department from 2016 to 2021. Total STAR and section-specific STAR scores were compared using the two independent sample Student's ttest on SPSS Statistics, version 23 (IBM Corp, Armonk, NY). Results: A total of 488 records were selected and evaluated using the STAR. The total STAR scores significantly improved steadily throughout the years compared to the baseline in 2016, reaching the highest in 2021. All domains had improved compared to the baseline except for anesthesia records that did not change from an already high baseline. The highest improvements between STAR domains were observed in Initial Clerking and Consent domains. Conclusion: Our study demonstrates that significant improvements in the quality of surgical records can be achieved by simply using an electronic record entry system, personnel education, and systematic auditing. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2022, Alqudah et al.)
Databáze:	MEDLINE
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