Ten-year results of quality assurance in radiotherapy chart round
| Autor: | Shankar Siva, Keen Hun Tai, Michael Lim Joon, Bardia Taghavi Bayat, Suki Gill, Farshad Foroudi |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
Male
Clinical audit medicine.medical_specialty Quality Assurance Health Care Urology Commission on Professional and Hospital Activities medicine.medical_treatment Audit RANZCR Medical Records Health administration Chart medicine Humans Prospective Studies Medical prescription Clinical Audit Radiotherapy business.industry Medical record General surgery Health Policy Australia Quality Radiation therapy Family medicine Female business Quality assurance Research Article New Zealand |
| Zdroj: | BMC Health Services Research |
| ISSN: | 1472-6963 |
| DOI: | 10.1186/1472-6963-13-148 |
| Popis: | Background The Royal Australian and New Zealand College of Radiologists (RANZCR) initiated a unique instrument to audit the quality of patient notes and radiotherapy prescriptions. We present our experience collected over ten years from the use of the RANZCR audit instrument. Methods In this study, the results of data collected prospectively from January 1999 to June 2009 through the audit instrument were assessed. Radiotherapy chart rounds were held weekly in the uro-oncology tumour stream and real time feedback was provided. Electronic medical records were retrospectively assessed in September 2009 to see if any omissions were subsequently corrected. Results In total 2597 patients were audited. One hundred and thirty seven (5%) patients had one hundred and ninety nine omissions in documentation or radiotherapy prescription. In 79% of chart rounds no omissions were found at all, in 12% of chart rounds one omission was found and in 9% of chart rounds two or more omissions were found. Out of 199 omissions, 95% were of record keeping and 2% were omissions in the treatment prescription. Of omissions, 152 (76%) were unfiled investigation results of which 77 (51%) were subsequently corrected. Conclusions Real-time audit with feedback is an effective tool in assessing the standards of radiotherapy documentation in our department, and also probably contributed to the high level of attentiveness. A large proportion of omissions were investigation results, which highlights the need for an improved system of retrieval of investigation results in the radiation oncology department. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|