Effect of audit and feedback on the accuracy of diagnosis summary for gynecological conditions in Songklanagarind Hospital, Songkhla Province, Thailand.
OBJECTIVE
To assess the effect of an audit and feedback intervention on the accuracy of the diagnosis summary in the medical records of gynecologic patients in Songklanagarind Hospital.


METHODS
An audit was conducted on the medical records of 468 gynecologic patients that visited between January 2006 and March 2007. They were divided into non-malignant and malignant conditions both before and after the planned intervention.


RESULTS
The accuracy of the summary of the diagnosis for non-malignant conditions was better than malignant conditions. The correction to the principle diagnosis in medical records of patients with malignant conditions increased significantly from 16.7% to 42.9% (p < 0.001) after the audit and feedback. In medical records of non-malignant conditions, corrections to the principle diagnosis and any complications also significantly increased from 72.0% to 82.0% (p = 0.01) and 76.0% to 90.7% (p = 0.002), respectively.


CONCLUSIONS
Audit and feedback is effective for improving the accuracy of the diagnosis summary for gynecological conditions but malignant conditions need more improvement strategies.
Pongsanon
Khemmawan
K
Department of Obstetrics & Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand.
Peeyananjarassri
Krantarat
K
Liabsuetrakul
Tippawan
T
Tassee
Sathana
S
Burapong
Nattapong
N
Getpook
Chatpawit
C
D003951:Diagnostic Errors / Q000706:statistics & numerical data*; D005260:Female; D005831:Genital Diseases, Female / Q000175:diagnosis*; D006801:Humans; D008485:Medical Audit; D008875:Middle Aged; D010865:Pilot Projects; D016730:Program Development; D015397:Program Evaluation; D013785:Thailand; D016387:Women's Health