Annals of the Royal College of Surgeons of England
-
Ann R Coll Surg Engl · Nov 2005
Unplanned admissions following ambulatory plastic surgery--a retrospective study.
Admission for overnight or longer hospital stay from a day-case unit is an unwelcome event. This audit was designed to identify the incidence of unplanned admissions and also to detect the potential factors for such overstays. ⋯ The reasons for unplanned admissions are multifactorial and merit appropriate patient selection and proper estimation of the disease process.
-
Quality assurance of medical record keeping in general surgery is facilitated by use of the CRABEL Score. Critical appraisal and constant feedback to staff plays an important part in improving case-note quality. ⋯ The CRABEL score has been shown to be a useful, reproducible and easy-to-perform objective assessment of the quality of medical record keeping. Repeated audit cycles have ensured that case-note quality remains a high priority and have also led to the development of standardised admission documentation. Introduction of the latter has led to a measurable improvement in medical record keeping.