title: Gap analysis between provisional diagnosis and final diagnosis in government and private teaching hospitals: A record-linked comparative study.
abstract: OBJECTIVE
  1. To identify the extent of clinical gaps at the context of knowledge, practice and systems. 2. To formulate necessary intervention measures towards bridging the gaps.
  
  
  METHODS
  Comparative, cross-sectional and non-interventional study.
  
  
  METHODS
  It is retrospective, record-based study conducted upon inpatients (n= 200) of major disciplines of two teaching hospitals. Major outcome variables were to observe the matching and un-matching of final and provisional diagnosis by using ICD-10 criteria.
  
  
  METHODS
  Comparative analysis of specific and selective gaps were estimated in terms of percentage (%).
  
  
  RESULTS
  Pilot observation showed the existence of gaps between provisional and final diagnosis in both private and government institution. Both knowledge and skill gaps were evident in caregivers and gap in documentation was existent in medical records.
  
  
  CONCLUSIONS
  The pilot data is may be an eye-opener to public and private governance systems for understanding and revising the process service planning and service delivery. Necessary intervention measures may be contemplated towards enhancing diagnostic skill of doctors for quality hospital care.
authors.affiliation: Deputy Registrar Academic, Netaji Subhas Open University, Kolkata, West Bengal, India.
authors.forename: Sudeshna
authors.initials: S
authors.lastname: Chatterjee
authors.affiliation: Director, Institute of Health and Family Welfare, Kolkata, West Bengal, India.
authors.forename: Krishnangshu
authors.initials: K
authors.lastname: Ray
authors.affiliation: Department of Pharmacology, R. G. Kar Medical College, Kolkata, West Bengal, India.
authors.forename: Anup Kumar
authors.initials: AK
authors.lastname: Das
keywords: Clinical audit; gap analysis; medical audit