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Prospective audit of the quality of ENT emergency clinic notes before and after introduction of a computerized template

Published online by Cambridge University Press:  08 March 2006

Jonathan C Hobson
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Northwick Park Hospital, Harrow, Middlesex, UK.
Sameer Khemani
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Northwick Park Hospital, Harrow, Middlesex, UK.
Arvind Singh
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Northwick Park Hospital, Harrow, Middlesex, UK.

Abstract

This study evaluated the accuracy of notes in an ENT urgent referral clinic, based on a standard of note keeping established within the trust. The results initially failed to meet the set standard and a change of practice was initiated by introduction of a computerized template that allowed for easier and more accurate data entry. After re-evaluation, the notes were found to be accurate and to contain relevant demographic data in more than 90 per cent of cases.

Type
Research Article
Copyright
© 2005 Royal Society of Medicine Press

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