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Red flag reviews audit – Frere Internal Medicine (previous results)

Date Site of audit Number of entries submitted Patient identifiers present? Dated? Is the entry legible? Is it clear what has been requested? Is there evidence from Red Flag file that this was done? Is there evidence in the notes that the patient was seen? Is there evidence in the notes that the requested issue was addressed? Was the reason for the flag to check blood results? Was there a request to check the patient’s clinical condition? Was there a request to check on radiological investigations? Anything else observed?
05/03/2026 Frere Wards 10 Yes:10
No:0 		Yes:9
No:1 		Completely legible:4
Some parts not legible but understandable:6
Completely illegible:0 		Yes:9
No:1 		Yes:9
No:1 		Yes:8
No:2 		Yes:7
No:3 		Yes:5
No:5 		Yes:4
No:6 		Yes:0
No:10 		two requests to check if fluids were given, two requests to ensure IV fluids are given, one request to ensure that patient leaves with transport to cardiology appointment, two requests for daily cusp. lengthy explanations with illegible handwriting and unclear instructions. asked to see note in folder, once more request for fluids, request to see detailed notes in folder, request to ensure fluids are running three times, daily CUSP requested for AKI but no request for action or clinical review on results
28/10/2025 Frere Wards 10 Yes:10
No:0 		Yes:9
No:1 		Completely legible:9
Some parts not legible but understandable:1
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:9
No:1 		Yes:3
No:7 		Yes:1
No:9
18/09/2025 Frere Wards 10 Yes:9
No:1 		Yes:10
No:0 		Completely legible:9
Some parts not legible but understandable:1
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:2
No:8 		Yes:2
No:8 		Yes:0
No:10
05/05/2025 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:9
Some parts not legible but understandable:1
Completely illegible:0 		Yes:9
No:1 		Yes:8
No:2 		Yes:10
No:0 		Yes:10
No:0 		Yes:5
No:5 		Yes:3
No:7 		Yes:1
No:9 		No, nothing else observed, No everything done according to the Red flag orders, Nothing observed, Nothing else observed, Red flag file not signed, Nothing else observed, Notes were scanty, New problems that were not part of the red flag request not addressed, Nothing else observed, Nothing else observed
12/03/2025 Frere Wards 12 Yes:11
No:1 		Yes:12
No:0 		Completely legible:9
Some parts not legible but understandable:3
Completely illegible:0 		Yes:10
No:2 		Yes:12
No:0 		Yes:12
No:0 		Yes:12
No:0 		Yes:9
No:3 		Yes:6
No:6 		Yes:0
No:12 		red flag for fluids
05/12/2024 Frere Wards 1 Yes:1
No:0 		Yes:1
No:0 		Completely legible:0
Some parts not legible but understandable:1
Completely illegible:0 		Yes:1
No:0 		Yes:1
No:0 		Yes:1
No:0 		Yes:1
No:0 		Yes:1
No:0 		Yes:0
No:1 		Yes:0
No:1
05/12/2024 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:9
Some parts not legible but understandable:1
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:5
No:5 		Yes:2
No:8 		Yes:1
No:9 		Fluids, Check meds given
31/07/2024 Frere Wards 10 Yes:8
No:2 		Yes:9
No:1 		Completely legible:4
Some parts not legible but understandable:5
Completely illegible:1 		Yes:8
No:2 		Yes:5
No:5 		Yes:10
No:0 		Yes:7
No:3 		Yes:5
No:5 		Yes:5
No:5 		Yes:0
No:10 		mostly signatures to show as evidence that the patient was seen, but what was done was not written or the outcome of the request., also just signature to show that the patient has been see but not certain what has been done for the patient
31/07/2024 Frere Wards 10 Yes:8
No:2 		Yes:9
No:1 		Completely legible:4
Some parts not legible but understandable:5
Completely illegible:1 		Yes:8
No:2 		Yes:5
No:5 		Yes:10
No:0 		Yes:7
No:3 		Yes:5
No:5 		Yes:5
No:5 		Yes:0
No:10 		mostly signatures to show as evidence that the patient was seen, but what was done was not written or the outcome of the request., also just signature to show that the patient has been see but not certain what has been done for the patient
31/07/2024 Frere Wards 10 Yes:8
No:2 		Yes:9
No:1 		Completely legible:4
Some parts not legible but understandable:5
Completely illegible:1 		Yes:8
No:2 		Yes:5
No:5 		Yes:10
No:0 		Yes:7
No:3 		Yes:5
No:5 		Yes:5
No:5 		Yes:0
No:10 		mostly signatures to show as evidence that the patient was seen, but what was done was not written or the outcome of the request., also just signature to show that the patient has been see but not certain what has been done for the patient
19/06/2024 Frere Wards 10 Yes:10
No:0 		Yes:9
No:1 		Completely legible:10
Some parts not legible but understandable:0
Completely illegible:0 		Yes:10
No:0 		Yes:9
No:1 		Yes:8
No:2 		Yes:7
No:3 		Yes:8
No:2 		Yes:6
No:4 		Yes:0
No:10 		Good follow-up; if blood was drawn – the intern would return a few hours later when the results were available and make note of result instead of just leaving it until the following day for another doctor to do., Intern’s plan was not clear for the patient they were reviewing; no action following blood results review., Signing red flags with signature – no name or practice number
05/06/2024 Frere Wards 10 Yes:8
No:2 		Yes:10
No:0 		Completely legible:8
Some parts not legible but understandable:2
Completely illegible:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:10
No:0 		Yes:9
No:1 		Yes:6
No:4 		Yes:4
No:6 		Yes:1
No:9 		Request only had name. No surname or hospital number. Request not very legible., Clinical review not complete, No notes made, only investigation done., Noted that if bloods are requested to be done, there is very good follow up and action., Even though only blood requested. Quick clinical review done, HGT review, Only initial and surname in request, no full name or hospital number, Electrolyte abnormalities: good follow up of results, Most thorough red flag request
15/01/2024 Frere Wards 10 Yes:9
No:1 		Yes:10
No:0 		Completely legible:9
Some parts not legible but understandable:1
Completely illegible:0 		Yes:10
No:0 		Yes:8
No:2 		Yes:4
No:6 		Yes:9
No:1 		Yes:2
No:8 		Yes:4
No:6 		Yes:0
No:10 		Only one of two requests were carried out. Entered in red flag file as one entry, so difficult to see that it was still outstanding., Barcode placed with no date or time, INR requested for day- barcode placed in file with no date or time, Two entries in one row- so entry for same patient the next day was missed, No barcode for CUSP that was done, Two entries for same patient- only one day completed, Barcode placed with no date/ time
23/10/2023 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:8
Some parts not legible but understandable:2
Completely illegible:0 		Yes:10
No:0 		Yes:8
No:2 		Yes:9
No:1 		Yes:8
No:2 		Yes:6
No:4 		Yes:5
No:5 		Yes:1
No:9 		Patient was admitted on a weekend and was still successfully flagged for the next day, Only marked for one date but asked for daily CUSP, Patient was for renal biopsy red flag – the biopsy was rescheduled because BPS were uncontrolled, INR was raised, pt was on aspirin and Hb 6.5 – no note in file of BPs, or of the results being checked or corrected during the day, requested blood tests were followed up and acted on accordingly, This red flag was due for both days of the weekend but missed on the Sunday, Request was to check pt receiving fluids, Patient was only red flagged for the Saturday but the CXR was still not done – this must’ve been handed over to the next team because the following day the XR was done and reviewed
21/09/2023 Frere Wards 10 Yes:10
No:0 		Yes:10
No:0 		Completely legible:8
Some parts not legible but understandable:2
Completely illegible:0 		Yes:10
No:0 		Yes:9
No:1 		Yes:10
No:0 		Yes:8
No:2 		Yes:7
No:3 		Yes:2
No:8 		Yes:0
No:10