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. 1993 Jul;69(813):578-80.
doi: 10.1136/pgmj.69.813.578.

Notes: a suitable case for audit

J Twigg  1 , T Briggs, C Parker, R Miller
Affiliations

Notes: a suitable case for audit

J Twigg et al. Postgrad Med J. 1993 Jul.

Abstract

The increasing emphasis on management responsibilities and audit led us to investigate the state of surgical notes in our hospital. Twelve criteria were evaluated regarding information that should be contained in the notes and the absence of this important information was documented. Deficiencies were revealed in all criteria selected. Until hospital patients files are well kept and maintained, retrospective audit whether financial or medical will not be valid. A significant injection of resources is required to redress the situation. Hospitals which have not carried out detailed studies into the contents of their notes need to do so as a matter of urgency.

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Comment in

  • Notes: a suitable case for audit.
    Jolobe OM. Jolobe OM. Postgrad Med J. 1993 Dec;69(818):959. doi: 10.1136/pgmj.69.818.959. Postgrad Med J. 1993. PMID: 8121877 Free PMC article. No abstract available.

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