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Acad Med. 2003 Oct;78(10 Suppl):S39-41.

Do peer chart audits improve residents' performance in providing preventive care?

Author information

  • 1The University of Texas Health Science Center, San Antonio 78229-3900, USA. paukert@uthscsa.edu

Abstract

PURPOSE:

One recommended method to evaluate residents' competence in practice-based learning and improvement is chart audit. This study determined whether residents improved in providing preventive care after a peer chart audit program was initiated.

METHOD:

Residents audited 1,005 charts and scored their peers on 12 clinical preventive services. The mean total chart audit scores were compared across five time blocks of the 45-month study.

RESULTS:

Residents' performance in providing preventive care initially improved significantly but declined in the last ten months. However, their performance remained significantly higher than at the beginning.

CONCLUSIONS:

By auditing their peers' charts, residents improved their own performance in providing preventive care. The diffusion of innovations theory may explain the prolonged implementation phase and problems in maintaining a chart audit program.

PMID:
14557091
[PubMed - indexed for MEDLINE]
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