Analysis of Service Quality and Resident Supervision in Accordance with Hospital Accreditation Standards

Abstract

Background Resident supervision plays an important role in accomplishing service excellence in teaching hospitals, while still supporting residents’ competency achievement. This preliminary study aims to obtain an overview of resident supervision and the achievement of quality services to conduct hospital accreditation standard.   Material and methods A retrospective study with a cross-sectional design was conducted in May 2020 involving Obstetrics and Gynecology residents who carried out a Caesarean section.  Data was collected from medical records manually, with additional information from Obstetrics and Gynaecology Department. Univariate analysis was completed to generate a profile of supervision and the achievement of quality services in accordance with  hospital accreditation standard.   Result Of the 86 Caesarean sections conducted in May 2020, only 75 involved residents, with 42 (56%) procedures carried out by chief residents and 33 (44%) by apprentice stage residents. Supervision during procedures was carried out in 74 cases (98.6%), with 33.3% given moderate-high supervision during hospitalization, 52% moderate low, and 14.7% low supervision. The completeness of the medical records revealed 85,3%  appropriate marked site, 96% surgery reports, 78,7% education sheet.  It is found that  64 % of pre-operative visits and  65,3% of post-operative visits were carried out by residents. In addition, case discussion, death case reports,  as well as  resident evaluation were carried out to conduct patient safety and quality service improvement.       Conclusion Supervisory evaluation could be provided directly or by conducting case discussions, as well as medical record review; otherwise, to enhance quality achievement, the development of an integrated supervision system is required.