title: Effectiveness of the daily record review at the medical emergency room department in a French teaching children's hospital.
abstract: We evaluate the effectiveness of the daily record review (DRR) of 4393 ambulatory medical patients seen at the emergency room department of a teaching pediatric hospital in Paris between 8th January and 11 March 1991. For these patients, 137 potential quality problems were found, 117 of them remaining after discussion with the junior. For 80 of the 117 confirmed problems (68.4%), the reviewing senior estimated that sufficient advice had been given to the child's usual caretaker or health care provider and (or) the children returned to seek medical advice when indicated. Experts proved the procedure to be reliable: they detected a problem for 36% of the cases with potential quality problems and for only 2% of a sample of control records considered without potential quality problems after the DRR.
authors.affiliation: Service de Santé Publique, Hôpital Robert Debré, Paris, France.
authors.forename: P
authors.initials: P
authors.lastname: Lombrail
authors.forename: A
authors.initials: A
authors.lastname: Leroyer
authors.forename: C
authors.initials: C
authors.lastname: Vitoux-Brot
authors.forename: C
authors.initials: C
authors.lastname: Dolfuss
authors.forename: A
authors.initials: A
authors.lastname: Bourrillon
authors.forename: F
authors.initials: F
authors.lastname: Beaufils
authors.forename: M
authors.initials: M
authors.lastname: Hassan
authors.forename: M
authors.initials: M
authors.lastname: Brodin
mesh_terms: D004636:Emergency Service, Hospital / Q000592:standards*; D005602:France; D006776:Hospitals, Pediatric; D006784:Hospitals, Teaching; D006801:Humans; D007223:Infant; D008499:Medical Records / Q000592:standards*; D011785:Quality Assurance, Health Care; D015203:Reproducibility of Results