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Research Article| Volume 42, ISSUE 2, P171-172, February 2011

The value of an admissions proforma for elderly patients with trauma

  • Adnan A. Faraj
    Correspondence
    Corresponding author. Tel.: +44 01535292107; fax: +44 1535202098.
    Affiliations
    Department of Orthopaedics & Trauma, Airedale General Hospital, Steeton, Keighley, West Yorkshire, BD20 6TD, United Kingdom
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  • Oliver D. Brewer
    Affiliations
    Department of Orthopaedics & Trauma, Airedale General Hospital, Steeton, Keighley, West Yorkshire, BD20 6TD, United Kingdom

    GP VTS ST2 trainee in emergency medicine at Mid Yorkshire Hospitals NHS Trust, 8 wing, Aberford Road, Wakefield, WF1 4DG, United Kingdom
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  • Rasheed Afinowi
    Affiliations
    Department of Orthopaedics & Trauma, Airedale General Hospital, Steeton, Keighley, West Yorkshire, BD20 6TD, United Kingdom
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      Abstract

      The authors worked in a busy regional fracture unit, where it was noted that important data was being omitted from the medical notes. In an attempt to improve on this, an admission proforma was formulated. This was designed to be easily and quickly completed. Notes were audited on 2 separate weeks, the first before, and the second after introduction of the proforma.
      The overall results demonstrate statistically significant improvements in documentation with a proforma, and concur with the limited previous literature in this area.

      Keywords

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      References

        • Baigrie R.J.
        • Dowling B.L.
        • Birch D.
        • Dehn T.C.
        An audit of the quality of operation notes in two district general hospitals. Are we following Royal College guidelines?.
        Ann R Coll Surg Engl. 1994; 76: 8-10
        • Belmin J.
        • de la Fourniere F.
        • Bellot P.
        • et al.
        Quality of the information collected during admission to a hospital geriatric service: importance of a structured medical record.
        Presse Med. 1998; 27: 1519-1522
        • Chamisa I.
        • Zulu B.M.
        Setting the records straight—a prospective audit of the quality of case notes in a surgical department.
        S Afr J Surg. 2007; 45: 94-95
        • Irtiza-Ali A.
        • Houghton C.M.
        • Raghuram A.
        • O’Driscoll B.
        Medical admissions can be made easier, quicker and better by the use of a pre-printed Medical Admission Proforma.
        Clin Med. 2001; 1: 327
        • Morgan D.
        • Fisher N.
        • Ahmad A.
        • Alam F.
        Improving operation notes to meet British Orthopaedic Association guidelines.
        Ann R Coll Surg Engl. 2009; 91: 217-219
        • Murphy B.J.
        Principles of good medical record documentation.
        J Med Pract Manage. 2001; 16: 258-260
        • Nylenna M.
        High quality medical records—high quality medicine.
        Tidsskr Nor Laegeforen. 1992; 112: 3560-3564
        • O’Driscoll B.R.
        • Al-Nuaimi D.
        Medical admission records can be improved by the use of a structured proforma.
        Clin Med. 2003; 3: 385-386
        • Siegmeth A.W.
        • Gurusamy K.
        • Parker M.J.
        Delay to surgery prolongs hospital stay in patients with fractures of the proximal femur.
        J Bone Joint Surg—British Volume. 2005; 87-B: 1123-1126
        • Solberg E.E.
        • Aabaken L.
        • Sandstad O.
        • et al.
        The medical record – content, interpretation and quality. Study of 100 medical records from a department of internal medicine.
        Tidsskr Nor Laegeforen. 1995; 115: 488-489