How accurate is a computerized surgical audit when resident medical staff collect the data

W.M. Castleden, Paul Norman, Michael Stacey, D. Mcgechie, J.G. Brooks, J. Fisher, M.M.D. Lawrence-Brown

    Research output: Contribution to journalArticle

    8 Citations (Scopus)

    Abstract

    Since July 1988 all eight general surgeons at Fremantle Hospital have used a computer-based surgical audit and discharge system. At the time of writing (September 1991) 10 919 computer-generated discharge letters have been produced by the system.This paper describes the system and reports a series of quality control assessments carried out between 1 July 1988 and 30 June 1990 during which 30 pre-registration surgical residents completed 5716 data collection forms. It was found that: (1) data collection for 23 of 24 monthly surgical audits was at least 95% complete; (2) outstanding surgical discharge summaries were reduced by 89%; (3) the residents recorded 17/19 wound infections and identified 15 (79%) of these as a surgical complication; and (4) the residents tended to under-record complications in patients who had more than one complication during their hospital stay.It was concluded that the system was robust, and that resident staff collected data in such a way that good quality computer-generated discharge letters were produced in a timely manner. Closer attention to aspects of data collection will be required before the optimum surgical audits of the QX system can be generated.
    Original languageEnglish
    Pages (from-to)563-568
    JournalAustralian and New Zealand Journal of Surgery
    Volume62
    DOIs
    Publication statusPublished - 1992

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