Comparison of Abbreviation Usage Practices in Two Philippine

Abbreviation Usage Practices and Perceived EffectsORIGINAL
on CASE
MedicalREPORT
Training
ARTICLE
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Řȱȱȱȱȱȱ
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ABSTRACT
Objectives. To (1) compare abbreviation usage practices in the
Doctors’ Orders and History Sheet in two tertiary hospitals in
Cebu City, namely, Cebu Velez General Hospital (CVGH) and
Vicente Sotto Memorial Medical Center (VSMMC); (2) determine
why medical students and physicians use abbreviations and (3)
determine the perceived effects on medical student training.
Methods. This is a descriptive cross-sectional study utilizing
medical chart reviews as well as group and key informant
interviews. Stratified Random Sampling with Proportionate
Allocation was used to select 100 charts each from CVGH and
VSMMC. Purposive sampling was done for key informants.
Results. All patients' clinical history, physical examination and
doctors’ orders in all departments of both hospitals contained
abbreviations. First initialization was the most common form,
e.g. BP (blood pressure). Non-universally-accepted abbreviations
were common, e.g. HFD (heredofamilial disease). Potentially
dangerous abbreviations were noted, e.g. d/c, D/C.
Abbreviations were used to maintain patient-doctor
confidentiality, save space and time, and for convenience.
Perceived effects on medical training included speeding up of
task performance.
Conclusions. Use of abbreviations in medical charts among
medical students and physicians in both private and public
tertiary hospitals in the Philippines is a prevalent practice. While
such has its perceived benefits, it also poses potential danger to
patients because not all abbreviations are understood and used
the same way. Medical schools and their training hospitals must
initiate moves to standardize the use of abbreviations in medical
education and promote awareness of their potential dangers.
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24 ACTA MEDICA PHILIPPINA
The authors suggest that potential dangers/benefits of
abbreviations be formally introduced in medical school as a
separate topic.
Key Words: abbreviation usage among medical students, perceived
effects, medical training
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VOL. 44 NO. 3 2010
Abbreviation Usage Practices and Perceived Effects on Medical Training
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