Audit on medical case records at the P.C.M. Hospital : 1983-1992

ABSTRACT

Medical audit was done on 500 case records; selected at random within a period of 10 years; at the Princess Christian Maternity Hospital. Each case record was scored against a formulated protocol. 216 (43 per cent) case records scored 50 per cent and over. A small sample (56) of surgical case records were audited within the same period. 28 (50 per cent) of the cases scored 50 per cent and over. Detail of the audit; demonstrated many inadequacies of the medical case records