Development of a checklist for auditing completion of patient report forms: A Delphi study
Introduction: Medical records are an integral part of patient care. Information loss during the handover from Emergency Care Providers to hospital staff is common and has a significant impact on patient care. Information loss can be prevented with medical documentation that is accurate, complete and...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-09-01
|
| Series: | African Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211419X22000179 |
| _version_ | 1818238181520179200 |
|---|---|
| author | Robert Bruce Mckenzie Robin Pap Timothy Hardcastle |
| author_facet | Robert Bruce Mckenzie Robin Pap Timothy Hardcastle |
| author_sort | Robert Bruce Mckenzie |
| collection | DOAJ |
| description | Introduction: Medical records are an integral part of patient care. Information loss during the handover from Emergency Care Providers to hospital staff is common and has a significant impact on patient care. Information loss can be prevented with medical documentation that is accurate, complete and contains the relevant information regarding patient management. Patient report Forms (PRF's) are used by Emergency Care Providers to record the details of their patient care and they form part of the patients’ medical records. Quality assuring of PRF's is required to determine if the required information has been recorded on the PRF. Checklists are one the means of quality assuring PRF, by comparing the points on the checklist to the content of the PRF. Methods: An three-round Delphi survey was conducted with experts to determine the relevant information (data elements) required for the completion of a PRF including any additional South African – specific elements. Results: Thirty-two experts participated in the Delphi survey, which identified 166 data elements for the check list and this was refined to a final 133 elements after collation by the researchers. A proposed checklist was developed. Discussion: The Delphi process is a useful technique to develop a checklist. A checklist consisting of 133 total possible data elements to quality assure PRFs was designed. Further research regarding the use and reliability of the checklist is required. |
| first_indexed | 2024-12-12T12:37:34Z |
| format | Article |
| id | doaj.art-6d36740a88464f388952f1b0bf036c1b |
| institution | Directory Open Access Journal |
| issn | 2211-419X |
| language | English |
| last_indexed | 2024-12-12T12:37:34Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | African Journal of Emergency Medicine |
| spelling | doaj.art-6d36740a88464f388952f1b0bf036c1b2022-12-22T00:24:18ZengElsevierAfrican Journal of Emergency Medicine2211-419X2022-09-01123191198Development of a checklist for auditing completion of patient report forms: A Delphi studyRobert Bruce Mckenzie0Robin Pap1Timothy Hardcastle2Dept of Emergency Medical Care, Durban University of Technology, Durban, South Africa; Corresponding author at:School of Health Sciences, Western Sydney University, Sydney, New South Wales, AustraliaDept of Surgery, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa; Faculty of Health Sciences, Durban University of Technology, Durban, South AfricaIntroduction: Medical records are an integral part of patient care. Information loss during the handover from Emergency Care Providers to hospital staff is common and has a significant impact on patient care. Information loss can be prevented with medical documentation that is accurate, complete and contains the relevant information regarding patient management. Patient report Forms (PRF's) are used by Emergency Care Providers to record the details of their patient care and they form part of the patients’ medical records. Quality assuring of PRF's is required to determine if the required information has been recorded on the PRF. Checklists are one the means of quality assuring PRF, by comparing the points on the checklist to the content of the PRF. Methods: An three-round Delphi survey was conducted with experts to determine the relevant information (data elements) required for the completion of a PRF including any additional South African – specific elements. Results: Thirty-two experts participated in the Delphi survey, which identified 166 data elements for the check list and this was refined to a final 133 elements after collation by the researchers. A proposed checklist was developed. Discussion: The Delphi process is a useful technique to develop a checklist. A checklist consisting of 133 total possible data elements to quality assure PRFs was designed. Further research regarding the use and reliability of the checklist is required.http://www.sciencedirect.com/science/article/pii/S2211419X22000179Emergency medical servicesDelphiPatient report formQuality assuranceAudit |
| spellingShingle | Robert Bruce Mckenzie Robin Pap Timothy Hardcastle Development of a checklist for auditing completion of patient report forms: A Delphi study African Journal of Emergency Medicine Emergency medical services Delphi Patient report form Quality assurance Audit |
| title | Development of a checklist for auditing completion of patient report forms: A Delphi study |
| title_full | Development of a checklist for auditing completion of patient report forms: A Delphi study |
| title_fullStr | Development of a checklist for auditing completion of patient report forms: A Delphi study |
| title_full_unstemmed | Development of a checklist for auditing completion of patient report forms: A Delphi study |
| title_short | Development of a checklist for auditing completion of patient report forms: A Delphi study |
| title_sort | development of a checklist for auditing completion of patient report forms a delphi study |
| topic | Emergency medical services Delphi Patient report form Quality assurance Audit |
| url | http://www.sciencedirect.com/science/article/pii/S2211419X22000179 |
| work_keys_str_mv | AT robertbrucemckenzie developmentofachecklistforauditingcompletionofpatientreportformsadelphistudy AT robinpap developmentofachecklistforauditingcompletionofpatientreportformsadelphistudy AT timothyhardcastle developmentofachecklistforauditingcompletionofpatientreportformsadelphistudy |