(8) Documentation of all deaths clearly shows the condition of the patient on
admission and the events leading to the patient's death. The record will be reviewed for
completeness, including any ordered laboratory tests or studies.
(9) The record complies with all other provisions of AR 40-66 UPDATE
(effective 20 August 1992).
c. Deficiencies of all missing, untimely, inappropriate, conflicting, or altered entries
identified during the review process will be used for problem identification, notification of
the risk manager and medical claims judge advocate of potential liability, in-service
education, and preparation of reports to the Quality Assurance Committee.
d. These following medical record delinquencies will be reported to the Quality
Assurance Committee on a quarterly bases.
(1) History and physical not done within 24 hours after admission.
(2) Operative report not dictated within 24 hours of the completion of surgery.
(3) Narrative summary not dictated within 4 working days of patient
(4) DA Form 3647 (worksheet) not completed within 4 working days of
(5) Inpatient treatment records not completed within 30 days of patient
(6) Percent of medical records not available at time of clinic visit.
3-16. RESERVE COMPONENTS
The Reserve Components (RC) will comply with the Quality Assurance program
outlined in AR 40-68. The quality and appropriateness of patient care services provided
by RC practitioners will meet the standards established by the AMEDD. RC units will
ensure that all field medical training conducted at state-owned or state-operated training
installations or active component installations is coordinated with the director of health
services in consonance with the type of training being conducted.
3-17. DENTAL ACTIVITY
a. Quality Assurance is a decentralized function with each dental treatment facility
(DTF) responsible to assess its operation, conduct problem solving and reassessment,
and report unresolved problems to the dental activity (DENTAC) QA committee for action.