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Laboratory results charts audit – Frere internal medicine (previous results)

Date Site of audit Number of entries submitted Is there a results chart in the inpatient notes? Is the results chart part of the admission form? If it is a standalone form, does it have patient’s… Are there results in the results charts? Are the results legible? Are the results dated? If dated, are they written in consecutive order? Are the dangerously abnormal results commented on… Anything else observed?
06/11/2025 Frere Wards 9 Yes:9
No:0 		Yes:9
No:0 		Yes:1
No:8 		Yes:9
No:0 		Fully legible:8
Some results difficult to read:1
Most results difficult to read:0
Completely illegible:0 		Yes:9
No:0 		Yes:9
No:0 		Yes:9
No:0 		Some results still pending are circled to prevent confusion/ repeating tests
06/11/2025 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Fully legible:10
Some results difficult to read:0
Most results difficult to read:0
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Pending results noted to be circled/highlighted to prevent repeating them
06/11/2025 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Fully legible:10
Some results difficult to read:0
Most results difficult to read:0
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Pending results noted to be circled/highlighted to prevent repeating them
23/04/2025 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Fully legible:5
Some results difficult to read:5
Most results difficult to read:0
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:9
No:1 		Older chart, Older chart, New chart, New chart, other blood results not filled in, New chart, New chart, New chart, Old chart, New chart, Old chart
29/01/2025 Frere Wards 10 Yes:10
No:0 		Yes:0
No:10 		Yes:7
No:3 		Yes:10
No:0 		Fully legible:5
Some results difficult to read:5
Most results difficult to read:0
Completely illegible:0 		Yes:9
No:1 		Yes:9
No:1 		Yes:10
No:0 		They even highlighted all the abnormal results on the results sheet., Some of the tests in the old medicine flow chart were scratched out, with more relevant tests written by hand.
29/10/2024 Frere Wards 10 Yes:10
No:0 		Yes:0
No:10 		Yes:9
No:1 		Yes:10
No:0 		Fully legible:6
Some results difficult to read:4
Most results difficult to read:0
Completely illegible:0 		Yes:8
No:2 		Yes:9
No:1 		Yes:10
No:0
28/08/2024 Frere Wards 10 Yes:10
No:0 		Yes:0
No:10 		Yes:9
No:1 		Yes:10
No:0 		Fully legible:10
Some results difficult to read:0
Most results difficult to read:0
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0
17/04/2024 Frere Wards 10 Yes:9
No:1 		Yes:9
No:1 		Yes:8
No:2 		Yes:9
No:1 		Fully legible:7
Some results difficult to read:2
Most results difficult to read:0
Completely illegible:1 		Yes:9
No:1 		Yes:9
No:1 		Yes:9
No:1 		Not enough space for all the results, Not enough space for results
30/01/2024 Frere Wards 10 Yes:10
No:0 		Yes:0
No:10 		Yes:7
No:3 		Yes:10
No:0 		Fully legible:9
Some results difficult to read:1
Most results difficult to read:0
Completely illegible:0 		Yes:9
No:1 		Yes:10
No:0 		Yes:7
No:3 		Results were last submitted on the 08/01 on the chart., Only one entry of results were made, although more blood drawn, Following results not written in after admission., Last 2 blood results not written in
31/10/2023 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Yes:5
No:5 		Yes:10
No:0 		Fully legible:8
Some results difficult to read:2
Most results difficult to read:0
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:5
No:5 		Values that needed to be added to chart: CRP, TSH, INR, APTT, Values that needed to be added to chart: GGT, ALT, CRP, Transferrin, Neutrophil count, Hep B sAg, Hep C, Hep B cAb, Urine sodium, urine osmolality, Pleural tap, GeneXpert, Not all results filled in. Possibly still pending, Not all results recorded on results sheet, CSF results added to results sheet. Worded results difficult to read, Not all results recorded, Only one set of results recoreded in notes, Urine MC&S results not recorded on results sheet
02/06/2023 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Yes:8
No:2 		Yes:10
No:0 		Fully legible:7
Some results difficult to read:3
Most results difficult to read:0
Completely illegible:0 		Yes:8
No:2 		Yes:8
No:2 		Yes:10
No:0