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Medical Auditing-a Study of Systematic Case Review in a Tertiary Care Hospital


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1 Department of Hospital Administration, Nizam's Institute of Medical Sciences
     

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Medical Audit of hospital records has been a major component of quality of care assessment1. The aim of the present Medical audit is to identify the areas for improvement and make necessary changes to provide a better quality medical care to the patients in tertiary care hospital like Nizam's Institute of Medical Sciences, India. The present study reveals that most of medical records were deficient in some or other information. The reasons for the insufficiency of medical records were explained by the doctors that the medical records were filled by naïve resident doctors and also due to heavy workload in areas like emergency department and critical care units preventing them from concentrating in filling the medical records.

Keywords

Health Care Quality Assurance, Medical Audit, Quality of Health Care, Medical Records
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  • Sakharkhar BK, Principles of Hospital Administration and Planning, Second edition by Jaypee Publications.
  • “www.nice.org.uk”. Principles of Best Practice in Clinical Audit 2002. Retrieved Aug 2010.
  • Dr. P. Satyanarayana, Should we practice Medical audit — Official journal of the Indian Hospital Transactions, March – June, 1994.
  • Donabedian, A., 1980. Explorations in Quality Assessment and Monitoring, Vol. 1, The Definition of Quality and Approaches to its Assessment. Ann Arbor: Health Administration Press.
  • Chassin, M. R., 1990. Practice guidelines: best hope for quality improvement in the 1990’s. Journal of Occupational Medicine, 32:1199-1206.
  • Richardson, F. M., 1972. Peer review of medical care. Medical Care, 10:29-39.
  • Goldman, R. L., 1992. The reliability of peer assessment of quality of care. Journal of the American Medical Association, 267:958-960.
  • O’neil, A. C.; Petersen, L. A.; Cook, E. F.; Bates, D. W.; Lee, T. H. & Brennan, T. A., 1993. Physician reporting compared with medical-record review to identify adverse medical events. Annals of Internal Medicine, 119:370-376
  • Brennan, T. A.; Leape, L. L.; Laird, N. M.; Hebert, L.; Localio, A. R.; Lawthers, A. G.; Newhouse, J. P.; Weiler, P. C. & Hiatt, H. H., 1991. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. New England Journal of Medicine, 324:370-376.
  • Kassirer, J. P., 1993. The quality of care and the quality of measuring it. New England Journal of Medicine, 239:1263-5.
  • Brennan, T. A.; Localio, R. J. & Laird, N. M., 1989. Reliability and validity of judgments concerning adverse events suffered by hospitalized patients. Medical Care, 27:1148-1158.
  • Palmer, R. H., 1991. Considerations in defining quality of care. In: Striving for Quality in Health Care. An Inquiry into Policy and Practice. Ann Arbor: Health Administration Press.

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  • Medical Auditing-a Study of Systematic Case Review in a Tertiary Care Hospital

Abstract Views: 317  |  PDF Views: 0

Authors

N. Lakshmi Bhaskar
Department of Hospital Administration, Nizam's Institute of Medical Sciences
S. Naga Satish Kumar
Department of Hospital Administration, Nizam's Institute of Medical Sciences
M. Meera Subhashini
Department of Hospital Administration, Nizam's Institute of Medical Sciences
N. Satyanarayana
Department of Hospital Administration, Nizam's Institute of Medical Sciences

Abstract


Medical Audit of hospital records has been a major component of quality of care assessment1. The aim of the present Medical audit is to identify the areas for improvement and make necessary changes to provide a better quality medical care to the patients in tertiary care hospital like Nizam's Institute of Medical Sciences, India. The present study reveals that most of medical records were deficient in some or other information. The reasons for the insufficiency of medical records were explained by the doctors that the medical records were filled by naïve resident doctors and also due to heavy workload in areas like emergency department and critical care units preventing them from concentrating in filling the medical records.

Keywords


Health Care Quality Assurance, Medical Audit, Quality of Health Care, Medical Records

References