An audit of completeness of HIV clinical histories: before and after introduction of an HIV proforma.

Abstract:

:The completeness of a 'first consultation' human immunodeficiency virus (HIV) clinical history before and after the introduction of an HIV proforma was audited by a retrospective case notes review. Twenty key variables considered essential to every history were assessed. There was a significant improvement in the documentation of 14 of the 18 items for men and 14 of the 20 items for women post-proforma with no deterioration in documentation of any of the variables. Our study supports the introduction of a structured 'first consultation' notes proforma for use during consultations with both newly diagnosed HIV-positive patients and those transferring their care from other centres.

journal_name

Int J STD AIDS

authors

Natha M,Sheehy C,Pollard M,Pakianathan M,Prime K

doi

10.1258/ijsa.2007.007174

subject

Has Abstract

pub_date

2008-02-01 00:00:00

pages

127-8

issue

2

eissn

0956-4624

issn

1758-1052

journal_volume

19

pub_type

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