The Effectiveness of Continuous Quality Improvement System Establishment on Improvement of the Data Recording Quality in the Emergency Department: A Clinical Audit
Abstract
Defects in medical records is a common problem in many hospitals of Iran, especially emergency departments. This study was conducted to evaluate and establish a continuous quality improvement (CQI) system for improving the quality of patient data recording in the emergency department. This clinical audit was performed on the medical records of the patients discharged from the emergency department of Jiroft, Imam Hospital in 2017. Evaluations were conducted before and one month after an intervention entitled “data recording quality improvement.” Data registration rate by the medical staff was 73% before and 84% after the intervention. There was no marked difference in the quality of data recording in in-patients before and after the intervention. Regarding the establishment of a CQI system, the data registration rate by the medical staff of the emergency department improved significantly after the intervention.
Esmailian, M. and M. Nasr-Esfahani, The quality of patients’ files documentation in Emergency Department; a cross sectional study. Ṭibb-i urzhāns-i Īrān, 2014. 1(1): p. 16-21.
Rangraz Jeddi, F., M. Farzandipour, and S.G.A. Mousavi, Completion rate of data information in emergency record in Kashan's hospitals. KAUMS Journal (FEYZ), 2004. 8(3): p. 68-73.
Torki, S., Tavakoli, N., and Khorasani, E, Improving the Medical Record Documentation by Quantitative Analysis in a Training Hospital. Journal of Earth, Environment and Health Sciences, 2015. 1(1): p. 22.
Somi, M., Are the medical records of high quality in teaching hospitals? Journal of medical education, 2009. 5(2).
Gommnami N, Juni MH, Said MS, Hassan STS, Arya E. A SYSTEMATIC REVIEW OF QUALITY COMPONENTS OF PATIENTS’MEDICAL RECORD IN IRANIAN HOSPITAL. International Journal of Public Health and Clinical Sciences, 2015. 2(2): p. 74-92.
Jalili M, 87: A Continuous Quality Improvement Approach to Patient Record Documentation Compliance in an Academic Emergency Department. Annals of Emergency Medicine, 2008. 51(4): p. 497.
Mahjoob M, Farahabbadi M, and Dalir M. Medical documentation in selected sheets in Jahrom 2010. Journal of Fasa University of Medical Sciences (JFUMS), 2010. 1(1): p. 20-8.
Mahmoudian S, Alidadi F, Arji G, Ramezani A. EVALUATION OF COMPLETENESS AND LEGAL ASPECTS’COMPLIANCE OF EMERGENCY’S MEDICAL RECORDS IN TEACHING HOSPITALS OF ZABOL UNIVERSITY OF MEDICAL SCIENCES. 2014.
Mashoufi M, Amani F, Rostami K, Mardi A. Evaluating Information Record in the Ardabil Medical Sciences University, 2002. Journal of Ardabil University of Medical Sciences, 2004. 4(1): p. 43-49.
Saravi BM, Asgari Z, Siamian H, Farahabadi EB, Gorji AH, Motamed N, et al. Documentation of Medical Records in Hospitals of Mazandaran University of Medical Sciences in 2014: a Quantitative Study. Acta Informatica Medica, 2016. 24(3): p. 202.
Talebi A, Eskandari A, and Mirzaiy A. Assessing the Physicians' Order Errors in Medical Records and it's effective Factors (A Case Study). Journal of Hospital, 2016. 15(2): p. 41-48.
Broughton EI, Ikram AN and Sahak I. How accurate are medical record data in Afghanistan's maternal health facilities? An observational validity study. BMJ open, 2013. 3(4): p. e002554.
Consortium NL. Continuous quality improvement (CQI) strategies to optimize your practice. Health Information Technology Research Center (HITRC), 2013.
Arzamani M, Doulatabadi T and Hashemi M. THE EFFECT OF TRAINING ON THE DEGREE OF COMPLETENESS OF MEDICAL RECORDS IN UNIVERSITY HOSPITALS IN THE CITY OF BOJNURD. 2011.
Tinsley JA. An educational intervention to improve residents' inpatient charting. Academic Psychiatry, 2004. 28(2): p. 136.
Tola K, Abebe H, Gebremariam Y, Jikamo B. Improving Completeness of Inpatient Medical Records in Menelik II Referral Hospital, Addis Ababa, Ethiopia. Advances in Public Health, 2017. 2017.
Asghari Z, Mardanshahi A, Farahabadi EB, Siamian H, Gorji AMH, Saravi BM, et al. The Quantitative Study of the Faculty Members Performance in Documentation of the Medical Records in Teaching Hospitals of Mazandaran University of Medical Sciences. Materia socio-medica, 2016. 28(4): p. 292.
Khalesi N, Zohoor A and Zare Z. The Process of Completion Special Operation Sheets Among Medical Teaching Hospitals in Uromia (2003). Journal of Health Administration, 2004. 7(17): p. 14-20.
| Files | ||
| Issue | Vol 56, No 9 (2018) | |
| Section | Articles | |
| Keywords | ||
| Documentation Emergency department Medical records Continuous quality improvement | ||
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