The Impact of Feedback to Medical Housestaff on Chart Documentation and Quality of Care in the Outpatient Setting
Article first published online: 28 FEB 2002
1997 by the Society of General Internal Medicine
Journal of General Internal Medicine
Volume 12, Issue 6, pages 352–356, June 1997
How to Cite
Opila, D. A. (1997), The Impact of Feedback to Medical Housestaff on Chart Documentation and Quality of Care in the Outpatient Setting. Journal of General Internal Medicine, 12: 352–356. doi: 10.1046/j.1525-1497.1997.00059.x
- Issue published online: 28 FEB 2002
- Article first published online: 28 FEB 2002
- Cited By
To determine whether feedback from attending physicians to residents about outpatient medical records improves chart documentation and quality of care.
Cross-sectional study with repeated measures.
Primary care internal medicine clinic at a metropolitan community hospital.
Fifteen interns and 20 residents.
Attending physicians reviewed at least two charts for each resident on three occasions about 4 months apart and then discussed their findings with the residents.
MEASUREMENTS AND MAIN RESULTS:
Explicit criteria defined the extent of chart documentation and the comprehensiveness of care delivery. Attending physicians also made a subjective assessment of the overall quality of care. All results were converted to 0-to-1 scales. From the first to the third period, chart documentation increased from 0.60 to 0.86 (p < .001), but there were no significant changes in the delivery of care or in the subjective assessments of the overall quality of care.
Both review of residents’ outpatient medical records and periodic feedback from attending physicians improve how well medical housestaff document care in the chart.
KEY WORDS: documentation; quality of care; feedback; outpatients.