标题:The Role of Accreditation in Improving Documentation of Medical Records: A Case Study in Besat Hospital, Hamadan University of Medical Sciences- Iran
期刊名称:International Journal of Computer Science and Network Security
印刷版ISSN:1738-7906
出版年度:2019
卷号:19
期号:3
页码:81-86
出版社:International Journal of Computer Science and Network Security
摘要:Problem Despite of the importance of medical records and their documentation, unfortunately, the documentation of medical records has no desirable quality. What is already known about the topic
Physicians do not value the documentation of information about the care process, and do not consider the documentation of medical records as a part of care process and this is the most important reason for the incomplete medical records.
What this paper adds
The accreditation standards have a positive impact on the documentation status of medical records.
Abstract
Background: Medical records, as legal and professional documents, are valuable tools for accrediting hospitals and all hospitals seek to identify factors that contribute to the improvement of these records by taking into account accreditation standards.
Aim: This study aimed to investigate the role of accreditation of health centers in improving the documentation status of records of patients admitted to Besat Hospital affiliated to Hamadan University of Medical Sciences. Methodology: The present analytical and cross-sectional research was conducted in 2018 on records of admitted patients during 2011 and 2017. To this end, the research investigated 1500 records (700 medical record from the second half of 2011 and 800 medical records from the second half of 2017). A researcher-made checklist was used to collect data that was analyzed by SPSS V.22. Findings: All selected forms had a relative improvement after the accreditation of documentation status (P