D A Opila1. 1. Department of Internal Medicine, St. Joseph's Hospital and Medical Center, Phoenix, Ariz 85013, USA.
Abstract
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.
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.
Authors: Jaideep S Talwalkar; Jason R Ouellette; Shawnette Alston; Gregory K Buller; Daniel Cottrell; Thomas Genese; Ali Vaezy Journal: J Grad Med Educ Date: 2012-03
Authors: Ksenya Shliakhtsitsava; Erin Stucky Fisher; Erin M Trovillion; Kelly Bush; Dennis John Kuo; Ron S Newfield; Courtney D Thornburg; William Roberts; Paula Aristizabal Journal: Pediatr Blood Cancer Date: 2021-07-19 Impact factor: 3.167