PEDIATRICS Vol. 57 No. 4 April 1976, pp. 575
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A Question on Chart Audits

Helene S. Thorpe M.D., F.A.A.P.1 and James H. Thorpe M.D., F.A.C.P.2

1 Department of Pediatrics, University of California School of Medicine, Davis, California
2 Director of Medical Education, Sutter Community Hospitals, Sacramento, California

Outpatient chart audit, as performed by Russo et al.'s faculty,1 demonstrates the problems of measurement as much as that which is measured.

By now, with national emphasis on inpatient audit,2 it is evident that medical education and practice have neglected documentation of care given–this despite a long-time need for accurate, concise, legible record-keeping to assist in care by multiple professionals, to support disability evaluations, to avoid malpractice claims, to effect third-party reimbursement, and to enhance clinical investigation, among others.