| Improving quality in an internal medicine residency program through a peer medical record audit. | |
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MedLine Citation:
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PMID: 19940590 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: This study examined the effectiveness of a quality improvement project of a limited didactic session, a medical record audit by peers, and casual feedback within a residency program. METHOD: Residents audited their peers' medical records from the clinic of a university hospital in March, April, August, and September 2007. A 24-item quality-of-care score was developed for five common diagnoses, expressed from 0 to 100, with 100 as complete compliance. Audit scores were compared by month and experience of the resident as an auditor. RESULTS: A total of 469 medical records, audited by 12 residents, for 80 clinic residents, were included. The mean quality-of-care score was 89 (95% CI = 88-91); the scores in March, April, August, and September were 88 (95% CI = 85-91), 94 (95% CI = 90-96), 87 (95% CI = 85-89), and 91 (95% CI = 89-93), respectively. The mean score of 58 records of residents who had experience as auditors was 94 (95% CI = 89-96) compared with 89 (95% CI = 87-90) for those who did not. The score significantly varied (P = .0009) from March to April and from April to August, but it was not significantly associated with experience as an auditor with multivariate analysis. CONCLUSIONS: Residents' compliance with the standards of care was generally high. Residents responded to the project well, but their performance dropped after a break in the intervention. Continuation of the audit process may be necessary for a sustained effect on quality. |
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Authors:
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Keiko Asao; Ishak A Mansi; Daniel Banks |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 84 ISSN: 1938-808X ISO Abbreviation: Acad Med Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-26 Completed Date: 2009-12-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: United States |
Other Details:
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Languages: eng Pagination: 1796-802 Citation Subset: AIM; IM |
Affiliation:
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Department of Medicine, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Disease
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therapy Diabetes Mellitus / therapy Health Status Indicators Hospitals, University / standards Humans Hypertension / therapy Internal Medicine / education* Internship and Residency / standards* Louisiana Medical Audit / organization & administration* Multivariate Analysis Outpatient Clinics, Hospital / standards Patient Care / standards Pulmonary Disease, Chronic Obstructive / therapy Ventricular Dysfunction, Left / therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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