Patient demographic characteristics and housestaff performance in the care of patients with human immunodeficiency virus disease.
A retrospective review of the medical records of 45 patients with human immunodeficiency virus (HIV) disease was conducted in an Oklahoma internal medicine teaching clinic. Demographics of this patient population and house staff performance in the care of these patients was evaluated. The study population demographics were similar to national findings with the exception of lower documented homosexual/bisexual transmission among males and higher heterosexual transmission among females. Deficiencies in documentation were noted in the areas of route of acquisition, mental status, and functional level. In several instances patients who were candidates for zidovudine and/or Pneumocystis prophylaxis were not receiving these treatments. The quality of care could be enhanced through the use of HIV evaluation and treatment protocols as well as specially designed, HIV-specific medical records to improve data collection. These HIV-specific medical records can be found in the appendices.
Smallwood
K G
KG
Adult Medicine Clinic, OUHSC, Tulsa, OK 74129.
Kick
S D
SD
Beal
J A
JA
Saizow
R B
RB
Jarolim
D R
DR
D002985:Clinical Protocols / Q000592:standards; D005568:Forms and Records Control; D015658:HIV Infections / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D015497:HIV-1; D006801:Humans; D008485:Medical Audit; D008499:Medical Records / Q000592:standards; D008505:Medical Staff, Hospital / Q000592:standards*; D009825:Oklahoma; D010044:Outpatient Clinics, Hospital; D017064:Process Assessment, Health Care; D011787:Quality of Health Care