title: Medical record review in an employee cancer screening clinic.
abstract: Documentation was evaluated through a series of chart reviews in the University of Texas M.D. Anderson Cancer Center's employee cancer screening clinic. One hundred charts were reviewed for three periods: 1987, before a QA program was established; 1988, during the QA program's introduction; and 1989, when chart review elements were identified. Documentation increased across these periods, with a significant increase for 10 of the 32 elements across at least two periods. However, mean follow-up time (initial examination to referral and communication of test results) did not vary across time, averaging 14 days. A new computer-based data system should help reduce follow-up time and facilitate access to data on patient compliance regarding tests and referrals.
authors.affiliation: Cancer Prevention and Detection Programs for Nurses, University of Texas M.D. Anderson Cancer Center, Houston 77030.
authors.forename: R
authors.initials: R
authors.lastname: Maniscalco
authors.forename: M F
authors.initials: MF
authors.lastname: Mitchell
authors.forename: L N
authors.initials: LN
authors.lastname: White
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002173:Cancer Care Facilities / Q000592:standards*; D004282:Documentation; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D009369:Neoplasms / Q000517:prevention & control*; D009786:Occupational Health Services / Q000592:standards; D010380:Peer Review / Q000379:methods; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D013781:Texas