[Home ] [Archive]    
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 9, Issue 4 (3-2010) ::
Iranian Journal of Medical Education 2010, 9(4): 356-364 Back to browse issues page
Related Factors in Medical Records Documentation Quality and Presenting Solutions from Managers' and Physicians' Viewpoints Occupied in Hospitals Affiliated to Kashan University of Medical Sciences
Mahtab Karami , Leila Shokrizadeh Arani
, karami_m@kaums.ac.ir
Abstract:   (12659 Views)
Introduction: Medical record documentation is an important legal and professional requirement for all health professionals which ensures holistic patient care presented to him. The aim of this study was to deter-mine factors affecting documentation quality from the viewpoints of managers and physicians in Kashan University of Medical Sciences and present solutions. Methods: This descriptive cross-sectional study was performed through census in which all managers and physicians employed in universities affiliated to Kashan University of Medical Sciences participated (n=300). The study tool was a questionnaire made by the researcher including questions on effects of factors such as knowledge, attitude, and procedures and standards and follow up and supervision on documentation quality, which was completed by study population after evaluating its reliability and validity. Data, was analyzed by SPSS software using descriptive analytic statistics indices. Results: Among the factors affecting documentation quality, factors of knowledge and attitude respectively enjoyed the highest mean score (94.3) and after that, factors of follow up and supervision (90.1) were placed and factors of processes and standards got the mean score of 88.5 finally. Regarding presented solutions, the recommended strategies for follow up and supervision were more effective (90.6) and resolutions for processes and standards were less effective than others. There was a significant difference among different groups under investigation. Conclusion: Among the factors affecting documentation quality, the factors of knowledge and attitude enjoy the most affectivity on document quality. Therefore, it is recommended to hold training courses for the medical staff for teaching documentation, putting emphasis on reward/punishment factors, evaluating documentation staff based on their documents and computerizing health data entry.
Keywords: Quality, Documentation, Medical records, Solution presentation, Managers, Employed physicians, Matron, Nurse.
Full-Text [PDF 280 kb]   (3383 Downloads)    
Type of Study: Original research article | Subject: other
Received: 2010/04/4 | Accepted: 2011/08/7
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA


XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Karami M, Shokrizadeh Arani L. Related Factors in Medical Records Documentation Quality and Presenting Solutions from Managers' and Physicians' Viewpoints Occupied in Hospitals Affiliated to Kashan University of Medical Sciences. Iranian Journal of Medical Education. 2010; 9 (4) :356-364
URL: http://ijme.mui.ac.ir/article-1-1100-en.html


Volume 9, Issue 4 (3-2010) Back to browse issues page
مجله ایرانی آموزش در علوم پزشکی Iranian Journal of Medical Education
Persian site map - English site map - Created in 0.06 seconds with 32 queries by YEKTAWEB 3974