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A patient record review in a teaching clinic
Journal of the American Optometric Association
|December 1, 1980
Summary
Peer review of clinic patient records by clinicians, including students and faculty, showed consistent improvement over ten weeks. This process offers educational and quality control benefits for healthcare.
Area of Science:
- Medical Education
- Clinical Quality Improvement
- Healthcare Administration
Background:
- Effective patient record management is crucial for quality healthcare delivery and medical training.
- Teaching clinics require robust processes for both education and patient care oversight.
Purpose of the Study:
- To describe a peer-based patient record review process implemented in a teaching clinic.
- To evaluate the effectiveness of this review process over a ten-week period.
Main Methods:
- A ten-week patient record review was conducted by peer groups of clinicians.
- Participants included both medical students and clinical faculty.
- Records were assessed for appropriateness based on predefined criteria.
Main Results:
- A consistent increase in the percentage of records deemed appropriate was observed throughout the ten-week study period.
- The peer review process demonstrated measurable improvements in record quality over time.
Conclusions:
- The implemented peer review process for clinic patient records yielded positive results in terms of record appropriateness.
- This method provides significant educational advantages for clinicians in training and faculty.
- The process serves as an effective tool for clinical quality control and assurance.