Effect of Audit and Feedback on the Accuracy of Diagnosis Summary for Gynecological Conditions in Songklanagarind Hospital, Songkhla Province, Thailand
Khemmawan Pongsanon MD*, Krantarat Peeyananjarassri MD*, Tippawan Liabsuetrakul MD, PhD*, Sathana Tassee MD*, Nattapong Burapong**, Chatpawit Getpook MD*
Affiliation : * Department of Obstetrics & Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla ** Department of Medical Records, Songklanagarind Hospital, Hat Yai, Songkhla
Objective : To assess the effect of an audit and feedback intervention on the accuracy of the diagnosis summary
in the medical records of gynecologic patients in Songklanagarind Hospital.
Material and Method: An audit was conducted on the medical records of 468 gynecologic patients that
visited between January 2006 and March 2007. They were divided into non-malignant and malignant condi-
tions both before and after the planned intervention.
Results : The accuracy of the summary of the diagnosis for non-malignant conditions was better than malig-
nant conditions. The correction to the principle diagnosis in medical records of patients with malignant
conditions increased significantly from 16.7% to 42.9% (p < 0.001) after the audit and feedback. In medical
records of non-malignant conditions, corrections to the principle diagnosis and any complications also
significantly increased from 72.0% to 82.0% (p = 0.01) and 76.0% to 90.7% (p = 0.002), respectively.
Conclusion : Audit and feedback is effective for improving the accuracy of the diagnosis summary for gyneco-
logical conditions but malignant conditions need more improvement strategies.
Keywords : Summary audit, Gynecologic, Audit and feedback
