Improving Outpatient and Inpatient Medical Recording Data Quality in Yerer General Hospital,2021
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Date
2021-07
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Addis Abeba University
Abstract
Background: Medical recording is an essential part of information use, dissemination,decision making for the health needs of the community health care system and quality service delivery.
The medical recording quality is a serious issue to be addressed, especially in Africa which has been measured using different data quality dimensions, and the percentage result is below standard. In Ethiopia, the ministry of health (MoH) has focused on information revolution setting a five-year transformation plan, and has developed tools on a standard of data quality measurement. Those tools are used to measure the medical recording data quality in Yerer General Hospital for selected dimension.
Objective: To improve medical recording of outpatient and inpatient data quality in Yerer General Hospital by the end of 2021 EC
Method: It is a pre post study, we carried out a pre intervention; with baseline assessment using an infinite sample size calculation and proportional simple random sampling of cards which was admitted to the hospital between end of 2018 to end of 2019 time frame, and post intervention was in 2021 January to measure the improvement.
After the intervention, a finite population sample size was used and a proportional random sampling method was applied for those admitted from January 21 to February 21 2021.
Result: Training on health management information system was given as an intervention after pre intervention result was observed .pre intervention total completeness of outpatient and inpatient MR was 79.12% and 51.59% respectively. On post intervention result it decreased to 57% and 41% respectively. Pre intervention total accuracy of outpatient and inpatient MR was 63.6% and 55.7% respectively. On post intervention result it increased to 80.73% and 81.67% respectively. The timelessness has improved the cards are returned to the medical recording room in 24 hours after intervention.
Conclusion: The intervention has influence on improvement of Total accuracy and timeliness but decrease score of the Total completeness of medical recording in Yerer General Hospital.
Recommendation: Continues trainings and follow up are required to strengthen quality department of Yerer General Hospital.
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Keywords
Data quality, Completeness, Accuracy, Timelessness and Medical Recording