title: The ANKLe score: an audit of otolaryngology emergency clinic record keeping.
abstract: BACKGROUND
  Accurate and legible medical records are essential to good quality patient care. Guidelines from The Royal College of Surgeons of England (RCSE) state the content required to form a complete medical record, but do not address legibility. An audit of otolaryngology emergency clinic record keeping was performed using a new scoring system.
  
  
  METHODS
  The Adjusted Note Keeping and Legibility (ANKLe) score was developed as an objective and quantitative method to assess both the content and legibility of case notes, incorporating the RCSE guidelines. Twenty consecutive otolaryngology emergency clinic case notes from each of 7 senior house officers were audited against standards for legibility and content using the ANKLe score. A proforma was introduced to improve documentation and handwriting advice was given. A further set of 140 notes (20 notes for each of the 7 doctors) was audited in the same way to provide feedback.
  
  
  RESULTS
  The introduction of a proforma and advice on handwriting significantly increased the quality of case note entries in terms of content, legibility and overall ANKLe score.
  
  
  CONCLUSIONS
  Accurate note keeping can be improved by the use of a proforma. The legibility of handwriting can be improved using simple advice. The ANKLe score is an objective assessment tool of the overall quality of medical note documentation which can be adapted for use in other specialties.
authors.affiliation: Department of Otolaryngology, Medway Maritime Hospital, Gillingham, Kent, UK. sara@kuruma.co.uk
authors.forename: Sara C
authors.initials: SC
authors.lastname: Dexter
authors.forename: Daichi
authors.initials: D
authors.lastname: Hayashi
authors.forename: James R
authors.initials: JR
authors.lastname: Tysome
mesh_terms: D000554:Ambulatory Care Facilities / Q000458:organization & administration*; D004739:England; D005568:Forms and Records Control; D006236:Handwriting; D006801:Humans; D008485:Medical Audit / Q000379:methods*; D008499:Medical Records / Q000592:standards*; D010036:Otolaryngology; D011446:Prospective Studies; D011786:Quality Control