An Audit of Anaesthetic Record Charts in the Orthopaedic Theatre of a Nigerian Teaching Hospital
Niger. j. surg. (Online)
; 13(1-2): 1-4, 2007.
Article
em En
| AIM
| ID: biblio-1267501
Biblioteca responsável:
CG1.1
ABSTRACT
Objective:
The anaesthetic record is an essential part of a patient's record; providing useful information for the management of the patient. It is of medico-legal importance and can be used for quality assurance and researchpurposes. An analysis of anaesthetic record charts from a satellite operating theatre of the University of Port-Harcourt Teaching Hospital (UPTH) was undertaken to determine their legibility; correctness and completeness.Method:
A retrospective analysis of the anaesthetic record charts from March 2003 to February 2004 of the orthopaedic theatre of the UPTH was undertaken.Results:
A total of 232 anaesthetic record charts were analyzed. All entries were manually-written. Of these; 141 (60.9) were filled by anaesthetic registrars; the rest were filled by senior registrars 85 (36.5) and consultants 6 (2.6). One hundred and twenty-one charts (52.2) were legible; completely and correctly filled; but 47.8were incompletely filled; and 47.7had at least an illegible parameter.Conclusion:
It is concluded from this analysis that the standard of anaesthetic record-keeping needs to be improved and consideration given to the use of computer-generated records which will eliminate the problems of illegible records
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Assunto principal:
Ortopedia
/
Pacientes
/
Prontuários Médicos
/
Anestésicos
/
Auditoria Médica
Idioma:
En
Revista:
Niger. j. surg. (Online)
Ano de publicação:
2007
Tipo de documento:
Article