Quality of surgical case notes at Dow University Hospital according to modified ANKLe score

Authors

  • Masood Jawaid Dow University of Health Sciences
  • Nighat Bakhtiar Dow University of Health Sciences
  • Abdul Khalique Dow University of Health Sciences
  • Zubia Masood Hamdard College of Medicine and Dentistry

DOI:

https://doi.org/10.12669/pjms.294.3813

Keywords:

Case notes, Quality, ANKLe score.

Abstract

Objective: To find out quality of surgical case notes according to modified Adjusted Note keeping and Legibility (ANKLe) score in Dow University Hospital.

Methods: For this audit, medical records of all the patients admitted in Dow University Hospital surgery department were reviewed from February 2012 to April 2012. The modified ANKLe score (total 24) is formed by the combination of, the content (out of 20) and legibility (out of 4) to give an overall score out of 24. A score of at least 20 (content score 17/20; legibility score 3/4) is considered as acceptable. It means that a surgical record is legible and the majority of the essential content is recorded.

Results: A total of 236 records were evaluated. Overall mean

Author Biographies

Masood Jawaid, Dow University of Health Sciences

Assistant Professor of Surgery and Incharge eLearning

Nighat Bakhtiar, Dow University of Health Sciences

Surgical Resident

Abdul Khalique, Dow University of Health Sciences

Assistant Professor Surgery

Zubia Masood, Hamdard College of Medicine and Dentistry

Assistant Professor Surgery

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Published

2013-07-03

How to Cite

Jawaid, M., Bakhtiar, N., Khalique, A., & Masood, Z. (2013). Quality of surgical case notes at Dow University Hospital according to modified ANKLe score. Pakistan Journal of Medical Sciences, 29(4). https://doi.org/10.12669/pjms.294.3813

Issue

Vol. 29 No. 4 (2013): August 2013 Pak J Med Sci

Section

Original Articles