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

BACKGROUND: Resident supervision plays an important role in accomplishing service excellence in teaching hospitals, while completeness of the medical record has not yet met the standard. AIM: The aim of the study is to obtain the achievement of quality services to conduct hospital accreditation standard and overview of resident supervision as well. MATERIALS AND METHODS: A retrospective study with a cross-sectional design was conducted in May 2020. Seventy-five medical records of Caesarean section (CS) performed by residents were collected manually with the additional informations collected from the Obstetric and Gynecology Department. Univariate analysis was completed to generate a profile of supervision and the achievement of quality services in accordance with hospital accreditation standard. RESULTS: Forty-two of 75 CS procedures (56%) were 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, and 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: Appropriate supervisory evaluations were carried out despite the lack of excellence in the quality of service provided by residence. Therefore, the development of a comprehensive supervision system is required.