ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 45
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Feedback, workshop and random monitoring as QA
interventions in improving data entries of resident
physicians in EMR for COVID-19 teleconsultations
Dr Geannagail Anuran1, Marishiel Mejia-Samonte1, Louella Patricia Carpio2, Dr Kashmir Mae Engada1,
Shiela Marie Lavina1
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Department of Family And Community Medicine, Philippine General Hospital, 2College of Public
Health, University of the Philippines Manila
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Background
Medical records provide a repository of patient information, physical examination, laboratory findings
and the outcomes of interventions. The completeness of data contained in the electronic medical
record (EMR) is an important factor leading to health service improvement.
Objective
To determine the effectiveness of quality assurance (QA) interventions (feedback, workshop and
random monitoring system) in improving data entries in the EMR of resident physicians for COVID-19
teleconsultations.
Method
This was a before-and-after study involving EMR entries of physician trainees on healthcare workers
(HCWs) during the 2022 COVID-19 pandemic. All medical records of HCWs who sought consultations
at the employees’ clinic for COVID-19 symptoms and/or exposure were included. A chart audit was
conducted against a checklist of criteria for six months before and three months after the study
interventions (one-day QA workshop, provision of feedback and random monitoring). The change in
the level of completeness from pre- to postintervention was computed, and the percentage of charts
meeting the minimum standards was likewise determined.
Result
A total of 2358 and 862 chart entries were audited before and after the QA interventions, respectively.
The percentage of charts meeting five of 15 criteria postintervention increased by 13–61 percentage
points. The improvement in one criterion was adequate to reach the minimum standard for chart
completeness set at 90%. Between 93% and 99% of charts met the minimum standards for 10 of the
15 criteria for chart completeness, while only 23–66% of audited charts met the other five criteria.
Conclusion
The QA interventions of conducting a workshop, provision of feedback on performance and random
monitoring of chart entries of resident physicians led to an increasing trend in the percentage of charts
meeting the minimum standards for completeness.
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