Audit to assess the quality of recorded plans of patient management.

Carrington, Michelle

doi:10.1016/s1466-2108(99)80061-8

Cited by 2 publications

(3 citation statements)

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“…Carrington, for instance, suggests that the concept of aseptic space was even more important when housing advanced cases, but we find few significant internal differences between the Muskoka and Toronto sanatoria. 49 The main distinction between them was in the exterior site planning. Perhaps because doctors believed individuals with advanced tuberculosis had less resistance to the cold than those with incipient disease, there was less unheated open-air accommodation at the Toronto Free Hospital, and fewer outbuildings.…”

Section: Accommodating Poor and Sicker Patientsmentioning

confidence: 99%

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“Not a Shack in the Woods”: Architecture for Tuberculosis in Muskoka and Toronto

Adams

Burke

2006

Canadian Bulletin of Medical History

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Abstract. This paper explores architecture as a primary source in the history of tuberculosis. In comparing five Ontario sanatoria built between 1897 and 1923, we identify a range of types and a growing resemblance of ex-urban TB sanatoria to urban hospitals. Existing literature on Canadian TB hospital architecture suggests the endurance of picturesque architecture, but the cottage plan was only one of the types deemed appropriate for consumptives in the early 20th century, even in Muskoka. Furthermore we argue that urban and ex-urban TB ideologies actually coalesce about 1923, best illustrated in the boldly modern architecture of Muskoka's new Gage pavilion.Résumé. Cette étude aborde l'architecture comme source de premier ordre dans l'histoire de la tuberculose. La comparaison entre cinq sanatoriums érigés en Ontario entre 1897 et 1923 a permis d'établir une série typologique et une ressemblance progressive entre sanatoriums ex-urbains et hôpitaux urbains. Les écrits sur l'architecture des établissements canadiens pour tuberculeux suggèrent un parti pris pour le style éclectique, mais au tournant du XX e siècle, dans la région même de Muskoka, le cottage anglais n'est qu'un parti parmi d'autres que l'on juge convenir aux tuberculeux. Nous tentons de démontrer ici que les deux idéologies, urbaine et ex-urbaine, finissent par se confondre vers 1923, comme en témoigne l'architecture résolument moderne du nouveau pavillon Gage de Muskoka.

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Section: Accommodating Poor and Sicker Patientsmentioning

confidence: 99%

“…14 Carrington reported that medical authorities believed "tuberculosis patients do better [and are more contented] when housed in small numbers," particularly groupings of two to four. 15 An early MCS pamphlet highlighted this capacity to cluster patients in small groups:…”

Section: Introductionmentioning

confidence: 99%

“Not a Shack in the Woods”: Architecture for Tuberculosis in Muskoka and Toronto

Adams

Burke

2006

Canadian Bulletin of Medical History

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“…There are several examples of file audit studies in the chiropractic profession both in the context of professional practice [8,17,18] or in teaching institutions [19,20]; however, reliability assessments of audit instruments and/ or processes used are lacking. In Ontario, Canada, the chiropractic regulator performs file (chart) audits of practicing chiropractors in the context of their "Peer and Practice Assessment Program" [21].…”

Section: Introductionmentioning

confidence: 99%

Intra- and inter-rater reliability of an electronic health record audit used in a chiropractic teaching clinic system: an observational study

Injeyan

Hogg‐Johnson

Abdulla

et al. 2021

BMC Health Serv Res

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Background There is a dearth of information about health education clinical file audits in the context of completeness of records and demonstrating program-wide competency achievement. We report on the reliability of an audit instrument used for electronic health record (EHR) audits in the clinics of a chiropractic college in Canada. Methods The instrument is a checklist built within an electronic software application designed to pull data automatically from the EHR. It consists of a combination of 61 objective (n = 20) and subjective (n = 41) elements, representing domains of standards of practice, accreditation and in-house educational standards. Trained auditors provide responses to the elements and the software yields scores indicating the quality of clinical record per file. A convenience sample of 24 files, drawn randomly from the roster of 22 clinicians, were divided into three groups of eight to be completed by one of three auditors in the span of 1 week, at the end of which they were transferred to another auditor. There were four audit cycles; audits from cycles 1 and 4 were used to assess intra-rater (test-retest) reliability and audits from cycles 1, 2 and 3 were used to assess inter-rater reliability. Percent agreement (PA) and Kappa statistics (K) were used as outcomes. Scatter plots and intraclass correlation (ICC) coefficients were used to assess standards of practice, accreditation, and overall audit scores. Results Across all 3 auditors test-retest reliability for objective items was PA 89% and K 0.75, and for subjective items PA 82% and K 0.63. In contrast, inter-rater reliability was moderate at PA 82% and K 0.59, and PA 70% and K 0.44 for objective and subjective items, respectively. Element analysis indicated a wide range of PA and K values inter-rater reliability of many elements being rated as poor. ICC coefficient calculations indicated moderate reliability for the domains of standards of practice, accreditation, and overall file scores. Conclusion The file audit process has substantial test-retest reliability and moderate inter-rater reliability. Recommendations are made to improve reliability outcomes. These include modifying the audit checklist with a view of improving clarity of elements, and enhancing uniformity of auditor responses by increased training aided by preparation of an audit guidebook.

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Audit to assess the quality of recorded plans of patient management.

Cited by 2 publications

References 0 publications

“Not a Shack in the Woods”: Architecture for Tuberculosis in Muskoka and Toronto

“Not a Shack in the Woods”: Architecture for Tuberculosis in Muskoka and Toronto

Intra- and inter-rater reliability of an electronic health record audit used in a chiropractic teaching clinic system: an observational study

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