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A Study to improve the standard of Record keeping of Patients in Hospitals
B.Sambath Kumar,Research Scholar,Sathyabama Uiversity,Chennai,Tamil Nadu, E-Mail : sam_kumar06@yahoo.co.in ,Dr.S.S.Rau,Registrar Sathyabama University,Chennai,Tamil Nadu, E-Mail : ssrau@rediffmail.com.

Abstract

Hospital Information System (HIS) is vital to decision making and plays a crucial role in the success of the organization. Computerization of the medical records and documentation has resulted in efficient data management and information dissemination for the users. Managers, Clinicians and other healthcare workers can now access the information without delay or errors. Present study reveals, the existing system requires up gradation to meet the requirements of the managers and the clinicians. Participants feel HIS assists in decision making, and medical audit. Participants felt that the existing HIS resulted in longer time for OPD consultation and delay in investigation results. Majority of the participants feel that HIS helps in education and research.

Keywords: Hospital Information System, Medical Records Department, Computerization, Out-Patients

I.Introduction

Over the last few decades, medical sciences have made great strides leading to radical improvements in the modes of investigations, therapeutic activities and surgical procedures. This has enhanced the imperative need to have authentic and accurate medical records. Every department and subsystems in an institution can be viewed basically as an information-processing agency. The Medical Records Department (MRD) is no exception. It is not a place where patient charts, complete or incomplete, are dumped and forgotten thereafter. The administration can actively use this department for monitoring and controlling the quality of patient care; in assessing of the performance of the medical staff; in keeping check on how some of the hospital’s resources are being put to use; and in gathering data for short term and long term decisions. Most of the present Medical Records Departments have been changed into departments of hospital information management in order to take up responsibilities to function more effectively and efficiently in this regard. This new drift will support the need for an improved Hospital Information System making the Medical Records Department the main source of health information. It is no doubt that a carefully planned Hospital Information System and intelligently used information will be a great asset to any health care industry. The Hospital Information managers must have the necessary skills to facilitate and manage this transition and bridge the gap in the changing patterns switch over to 21st century.

II.Statement of the Problem
A study of Medical Records Department of a tertiary care hospital with special reference to the Hospital Information System.

III.Objectives
To study the existing Hospital Information System in the medical records department.

To identify the shortcomings, if any, in the existing Hospital Information System in the Medical Records Department.

To suggest the necessary steps to improve the existing Hospital Information System in the Medical Records Department.

IV.Methodology:
The study was conducted in 200 bedded tertiary care hospitals. The Medical Records Department of the hospital was studied for assessing the Hospital Information System. Descriptive research approach as adopted for this study. Descriptive statistics have been used to find out the deficiencies, if any, in the existing Hospital Information System. The target population consisted of managers, doctors and patients in the hospital. The data were collected from a sample of 60, consisting of 10 managerial heads, 20 doctors and 30 patients selected by the disproportionate stratified sampling technique. The inclusive criteria for selecting the sample, were the managers who involved in decision making process,...
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