The impact of feedback to medical housestaff on chart documentation and quality of care in the outpatient setting.

Autor:	Opila, Donald A., Opila, D A
Předmět:	CLINICAL competence COMPARATIVE studies HOSPITALS INTERNAL medicine INTERNSHIP programs INTERPROFESSIONAL relations RESEARCH methodology MEDICAL quality control MEDICAL cooperation MEDICAL records RESEARCH EVALUATION research CROSS-sectional method
Zdroj:	JGIM: Journal of General Internal Medicine; Jun1997, Vol. 12 Issue 6, p352-356, 5p
Abstrakt:	Objective: To determine whether feedback from attending physicians to residents about outpatient medical records improves chart documentation and quality of care.Design: Cross-sectional study with repeated measures.Setting: Primary care internal medicine clinic at a metropolitan community hospital.Patient/participants: Fifteen interns and 20 residents.Intervention: Attending physicians reviewed at least two charts for each resident on three occasions about 4 months apart and then discussed their findings with the residents.Measurements and Main Results: Explicit criteria defined the extent of chart documentation and the comprehensiveness of care delivery. Attending physicians also made a subjective assessment of the overall quality of care. All results were converted to 0-to-1 scales. From the first to the third period, chart documentation increased from 0.60 to 0.86 (p < .001), but there were no significant changes in the delivery of care or in the subjective assessments of the overall quality of care.Conclusions: Both review of residents' outpatient medical records and periodic feedback from attending physicians improve how well medical housestaff document care in the chart. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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