Quality of pre-anesthesia assessment: a clinical audit in a tertiary care hospital in Pakistan

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Clinical audit reveals significant gaps in anesthesia documentation in a tertiary care hospital, highlighting the need for quality improvement.

Documentation completeness across indicators varied, with critical data having rates below 30%, indicating serious gaps.
Key components like Name of Patient, Age, and Gender achieved 100% documentation completeness, emphasizing areas of compliance.
Conclusions call for structured templates and targeted staff training to enhance the quality of pre-operative assessments.
Follow-up audits will be conducted to track progress in improving pre-anesthesia documentation and patient safety.

Zahid et al. (2025) studied this question.

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View Full Paper

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Authors

Clinical audit reveals significant gaps in anesthesia documentation in a tertiary care hospital, highlighting the need for quality improvement.

Documentation completeness across indicators varied, with critical data having rates below 30%, indicating serious gaps.
Key components like Name of Patient, Age, and Gender achieved 100% documentation completeness, emphasizing areas of compliance.
Conclusions call for structured templates and targeted staff training to enhance the quality of pre-operative assessments.
Follow-up audits will be conducted to track progress in improving pre-anesthesia documentation and patient safety.

Zahid et al. (2025) studied this question.

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