Do peer chart audits improve residents' performance in providing preventive care?
Acad Med
; 78(10 Suppl): S39-41, 2003 Oct.
Article
em En
| MEDLINE
| ID: mdl-14557091
ABSTRACT
PURPOSE:
One recommended method to evaluate residents' competence in practice-based learning and improvement is chart audit. This study determined whether residents improved in providing preventive care after a peer chart audit program was initiated.METHOD:
Residents audited 1,005 charts and scored their peers on 12 clinical preventive services. The mean total chart audit scores were compared across five time blocks of the 45-month study.RESULTS:
Residents' performance in providing preventive care initially improved significantly but declined in the last ten months. However, their performance remained significantly higher than at the beginning.CONCLUSIONS:
By auditing their peers' charts, residents improved their own performance in providing preventive care. The diffusion of innovations theory may explain the prolonged implementation phase and problems in maintaining a chart audit program.
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Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Medicina Preventiva
/
Revisão dos Cuidados de Saúde por Pares
/
Auditoria Médica
Tipo de estudo:
Prognostic_studies
Limite:
Humans
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2003
Tipo de documento:
Article