title: Charting errors in a teaching hospital.
abstract: OBJECTIVE
  The objective of this study was to assess charting errors by junior trainees in the emergency department at the beginning of the academic year and to evaluate the effect of audits and reminders in reducing charting errors in July.
  
  
  METHODS
  Medical records from June and July 2006 were reviewed to identify incomplete documentations (charting errors) in 5 areas. The audit was repeated in July 2007 after sample charts were displayed, and reminders were sent.
  
  
  RESULTS
  There were 129 patient records completed by 12 trainees in June 2006 and 122 by 11 trainees in July 2006. The mean charting error rate for July (24%) was significantly higher than that in June (17%) (P = 0.0041). The mean charting error rate reduced to 14% after the intervention in July 2007.
  
  
  CONCLUSIONS
  There is a significant increase in charting errors by new trainees in July compared with June. A simple intervention of reminders and alerts significantly reduced charting errors in July.
authors.affiliation: Division of Emergency Medicine, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. savithiri.ratnapalan@sickkids.ca
authors.forename: Savithiri
authors.initials: S
authors.lastname: Ratnapalan
authors.forename: Kristen
authors.initials: K
authors.lastname: Brown
authors.forename: Peter
authors.initials: P
authors.lastname: Cieslak
authors.forename: Justine
authors.initials: J
authors.lastname: Cohen-Silver
authors.forename: Anna
authors.initials: A
authors.lastname: Jarvis
authors.forename: William
authors.initials: W
authors.lastname: Mounstephen
mesh_terms: D004636:Emergency Service, Hospital; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D008485:Medical Audit; D008499:Medical Records / Q000592:standards*; D017010:Reminder Systems; D012189:Retrospective Studies; D013337:Students, Medical