TY - JOUR
T1 - Diagnostic Errors in Orthopedic Surgery
T2 - Evaluation of Resident Documentation of Neurovascular Examinations for Orthopedic Trauma Patients
AU - Tan, Eric W.
AU - Ting, Beverlie L.
AU - Jia, Xiaofeng
AU - Skolasky, Richard L.
AU - McFarland, Edward G.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2013/1
Y1 - 2013/1
N2 - The need for accuracy in neurovascular examinations of the extremities of trauma patients is well recognized. The goals of this study were to (a) evaluate the completeness of orthopedic house staff documentation of the neurovascular status of adult patients with extremity trauma, (b) identify the frequency of individual element documentation, and (c) determine if completeness was related to experience. The trauma center's database was reviewed for patients with extremity injuries (June 2006 through January 2008). For 114 patients, the authors assessed the neurovascular examination documentation for completeness (sensory, motor function, and vascular elements) and "perfection" (complete bilateral elements), identified the frequency of individual element documentation, and determined the relationship of completeness to experience (Pearson correlation coefficients; significance, P ≤.05). There was no complete (all elements) or perfect (complete bilateral) documentation. The element most often documented completely was the sensory examination. Increased examiner experience was significantly associated with decreased sensory and vascular documentation.
AB - The need for accuracy in neurovascular examinations of the extremities of trauma patients is well recognized. The goals of this study were to (a) evaluate the completeness of orthopedic house staff documentation of the neurovascular status of adult patients with extremity trauma, (b) identify the frequency of individual element documentation, and (c) determine if completeness was related to experience. The trauma center's database was reviewed for patients with extremity injuries (June 2006 through January 2008). For 114 patients, the authors assessed the neurovascular examination documentation for completeness (sensory, motor function, and vascular elements) and "perfection" (complete bilateral elements), identified the frequency of individual element documentation, and determined the relationship of completeness to experience (Pearson correlation coefficients; significance, P ≤.05). There was no complete (all elements) or perfect (complete bilateral) documentation. The element most often documented completely was the sensory examination. Increased examiner experience was significantly associated with decreased sensory and vascular documentation.
KW - examination
KW - injury
KW - neurovascular
KW - safety
KW - trauma
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U2 - 10.1177/1062860612447856
DO - 10.1177/1062860612447856
M3 - Article
C2 - 22798636
AN - SCOPUS:84871874005
SN - 1062-8606
VL - 28
SP - 60
EP - 68
JO - American Journal of Medical Quality
JF - American Journal of Medical Quality
IS - 1
ER -