Auditoría de las historias clínicas de atención primaria: 6 años de experiencia

The use of antihypertensive drugs in Murcia is less than in the rest of Spain. Therefore, this may be due to a problem of under treatment of this illness or other cardiovascular illnesses in the region. A greater use of ARB in Murcia and a lower use of ACEI was observed in Murcia. The differences found suggest that further studies are required to clarify their origins and causes, with the objective of achieving a more rational and efficient use of these drugs.

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Análisis del uso racional de antihipertensivos en la región de Murcia

Ruiz

Ariza

Aguilera

et al. 2012

Atención Primaria

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Datos clínicos esenciales de la historia clínica de atención primaria: una experiencia de evaluación y mejora

et al. 2002

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Estudio de La Calidad de Los Registros en, Un Centro de Atención Primaria

Mingorance¹,

Morata²,

Bueno‐Cavanillas³

et al. 1991

Gaceta Sanitaria

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The quality of the clinical records included in the clinical charts is assessed through a sample of the clinical charts existing at the Health Center Zaidin-Sur (Granada, Spain). The quality was ascertained via the number of visits annotated, the number of records considered as essential (life style, family and personal history), and the number of received or requested consultation. This information is compared to the data of the general files of the Health Center, to the information gathered by a direct interview (performed to assess the validity of the essential records), and to the results of a protocol studying the visit activities. The analysis of data shows that just a 40.4% of the visits are annotated on the clinical chart. A lower percentage of the essential records were annotated, 37.6%. The requested consultations are annotated in 43.8% and the received ones in 87.6%. We discuss on the need of periodic evaluation of the records to show their limitations and deficiencies. This is the first step to improve them.

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Auditoría de las historias clínicas de atención primaria: 6 años de experiencia

Cited by 4 publications

References 5 publications

Análisis del uso racional de antihipertensivos en la región de Murcia

Análisis del uso racional de antihipertensivos en la región de Murcia

Datos clínicos esenciales de la historia clínica de atención primaria: una experiencia de evaluación y mejora

Estudio de La Calidad de Los Registros en, Un Centro de Atención Primaria

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