Clinical Audit of Gynecology Ward Shahida Islam Medical Complex, Lodhran: Evaluating Patient Care and Record Management

Introduction: An audit is the objective, systematic, and critical analysis of medical care. It is a quality improvement process that seeks to improve patient care and outcomes. Objective: To review the performance of the Gynecology ward, assess the quality of patient care, and record maintenance. Methodology: This was a cross-sectional study conducted in the gynecology ward of Shahida Islam Medical Complex, Lodhran, from 30th March to 30th April 2024. The study population comprised patients admitted to the gynecology ward selected by a non-probability convenient sampling technique. A predesigned, pretested questionnaire was the tool for data collection. Informed consent was taken from all willing admitted patients. Data was analyzed using SPSS version 24. Results: Maintenance of patient records was good. All the essential drugs were available in the ward. Regarding the outcome of patients, out of 100 patients, 97(97%) were discharged from the ward, 1% left against medical advice, and one death was reported during the survey. The provisional diagnosis made was 94.%. Reports were properly checked (99%). Documentation of progress notes was excellent(100%). So, the overall performance of the gynecology ward was good. Conclusion: The overall performance of the gynecology ward was good.