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Related Experiment Videos

Psoriasis consultation audit: a two-centre study.

D Shuttleworth1, A Y Finlay, M Rademaker

  • 1Department of Medicine (Dermatology), University of Wales College of Medicine, Heath Park, Cardiff, U.K.

The British Journal of Dermatology
|July 1, 1990
PubMed
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Hospital note-keeping for psoriasis patients was assessed. While junior staff recorded more details, communication with general practitioners was poor, impacting patient follow-up and consultant access.

Area of Science:

  • Dermatology
  • Healthcare Management
  • Medical Auditing

Background:

  • Adequate hospital note-keeping is crucial for patient care continuity and effective communication within healthcare systems.
  • Psoriasis management requires detailed patient records to track symptoms, treatment efficacy, and patient outcomes.
  • Previous assessments of medical record-keeping practices have indicated variability in quality and completeness.

Purpose of the Study:

  • To assess the adequacy of hospital note-keeping for patients with psoriasis across two teaching hospitals.
  • To identify variations and similarities in record-keeping practices between different staff levels and hospital centers.
  • To evaluate the effectiveness of communication between hospital clinics and general practitioners, particularly concerning patient default.

Main Methods:

Related Experiment Videos

  • A retrospective audit of case notes for 100 patients diagnosed with psoriasis at two teaching hospitals.
  • Criteria for adequate note-keeping were established in consultation with 60 British dermatologists.
  • Data collected included patient symptoms, disability, psoriasis type, visit frequency, discharge information, and communication with general practitioners.

Main Results:

  • Record-keeping patterns were similar across both teaching hospitals.
  • Non-consultant (junior) staff generally completed records more comprehensively than consultant (senior) staff.
  • Significant differences were noted between centers regarding the recording of patient symptoms, disability, psoriasis type, and pre-discharge visits to general practitioners.
  • Communication to general practitioners following patient default was consistently poor in both centers.
  • Patients seen by non-consultant staff initially had a lower probability (1 in 8) of subsequent consultant review.

Conclusions:

  • The case-note audit revealed consistent, yet suboptimal, record-keeping practices in psoriasis care at the studied teaching hospitals.
  • Improvements in documentation, particularly concerning patient-reported outcomes and communication with primary care, are necessary.
  • The audit process itself led to practical enhancements in record-keeping procedures within the participating centers.