[Underestimation of medical activity measured by daily activity scores].
OBJECTIVE
To assess the effectiveness of a scoring system (omega) for medical activity.


METHODS
In 100 consecutive patients (phase A), the omega scores were calculated by the physician in charge and controlled by an independent physician. In 100 additional patients, the omega scores were controlled again while using corrective measures (phase B).


RESULTS
Phase A: at least one item was forgotten in 54% of the stays. The amount of medical activity lost (MAL) was 14 +/- 13%. Phase B: there was no significant reduction in the number of stays with forgotten items (45%, p = 0.41 vs phase A) and the MAL was 17 +/- 16% (p = 0.19 vs 6 +/- 10 days, p = 0.002) and high omega II score (items recorded every time they are performed) (0.8 +/- 1.3 vs 0.4 +/- 0.7, p = 0.01) were associated with forgetting items. The MAL was negatively correlated with the length of stay (r = -0.69, p < 0.001) and omega score (r = -0.40, p = 0.001).


CONCLUSIONS
In routine practice, scoring systems may underestimate medical activity.
Pautas
E
E
Service de Réanimation Polyvalente, Institut Mutualiste Montsouris, Paris.
Herman
B
B
Wolff
M
M
Wysocki
M
M
D000203:Activities of Daily Living; D000704:Analysis of Variance; D003422:Critical Care; D013502:General Surgery / Q000592:standards; D006801:Humans; D015999:Multivariate Analysis; D009774:Obstetrics / Q000592:standards; D011613:Psychotherapy / Q000592:standards; D011787:Quality of Health Care; D012151:Resuscitation; D016896:Treatment Outcome
Sous-estimation de l'activité de soins mesurée par les scores d'activité en pratique quotidienne.