Anemic inpatients. Correlates of house officer performance

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Abstract
To determine the correlates of the adequacy of the diagnostic evaluation of anemia, a prospective study on the medical services of a university-affiliated hospital was conducted. With the use of explicit criteria mapping techniques, the conditions of 204 (79%) anemic inpatients were adequately evaluated. By multiple regression analysis, the adequacy of evaluation showed significant correlations with the identity of the responsible house officer, the severity of the anemia, the patient''s sex and the service in which the patient received care. The performances of individual house officers were not significantly correlated with their subjective rankings by either their supervising residents or their attending faculty; a composite subjective ranking derived from the average of these 2 subjective rankings did correlate with objective performance in the anemia audit. Patient and physician characteristics apparently influence the adequacy of anemia evaluations. Objective audits may be a useful adjunct to the usual subjective methods for evaluating house officers'' performances.

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