Benyamin Mohseni Saravi; Azar Kabirzadeh; Esmaiel Rezazadeh; Ebrahim Bagherian Farahabbadi; Zolikha Asghari
Volume 9, Issue 5 , November and December 2012, , Pages 671-678
Abstract
Introduction: Research has shown that medical consents are not valid. In fact, consents are usuallyprovided by unauthorized persons whose identification is not accurately approved. This researchtried to specify the effects of an admission guideline form on validity of medical consents.Methods: This experimental ...
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Introduction: Research has shown that medical consents are not valid. In fact, consents are usuallyprovided by unauthorized persons whose identification is not accurately approved. This researchtried to specify the effects of an admission guideline form on validity of medical consents.Methods: This experimental study was conducted in four teaching hospitals in Sari, Iran during2010. After reading the admission guideline, the case group had to present the necessarydocuments to prove their identity and be able to consent for their patient’s admission. The controlgroup included patients who had been admitted before the beginning of this project. Two copiesof the admission guideline form had been prepared (one for the hospital and one for the patients).The names of patients who had received the form were recorded in a list for further follow-up.The patients who had the form on the day of admission entered the study. A number of variablessuch as the validity of the consents for "treatment and surgery" and "using medical information",patient’s age, sex, and place of residence, the relation of the consenting person with the patient,and the patient, his/her attendant, and the receptionist’s education level were recorded. Usingprevious research, primary evaluations, and the formula of sample size, 66 persons form eachhospital were selected. Content validity was determined based on the relationship between thepatient and the consenting person. Data was analyzed by descriptive statistics and chi-square andbinominal tests in SPSS. P values less than 0.05 were considered significant.Results: Employing the admission guideline form increased the validity of consents for treatmentand surgery and using medical information by about 18.6% and 15.6%, respectively. The validityof consents provided by patients younger than 19 years of age and 55-60 years old was higherthan the other age groups. The validity of consents was higher in the case group than in thecontrol group. In addition, the validity of consents was not significantly related with thereceptionist’s education level.Conclusion: Using the admission guideline form was improved the validity of the providedconsents. This form can be a beneficial tool to educate patients about the necessary documents inthe hospital. Furthermore, training the personnel and/or using the validity of consents as anevaluation index in their promotion will also be warranted.
Azar Kabirzadeh; Ebrahim Bagherianfarahabadi; Esmaiel Rezazadeh; Benyamin Mohsenisaravi
Volume 5, Issue 2 , September 2008
Abstract
Introduction: Medical records committee is a qualitative committee in organizational charts of hospitals. This committee makes decisions on medical records policy, medical records procedures, medical records forms, and relevant problems to the management of patient information. The medial records committee ...
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Introduction: Medical records committee is a qualitative committee in organizational charts of hospitals. This committee makes decisions on medical records policy, medical records procedures, medical records forms, and relevant problems to the management of patient information. The medial records committee is important in accreditation programs too. This research was done in respect of assess the performance of medical records committees, according to medical records sessions reports. Methods: In this cross sectional study, all reports of medical records committee during 2005-2007 were observed. The check list for gathering data was designed accordaning to the medical records committee duty in the text books. Variables were the number of medical records committee sessions, discussed problems, made decisions, and the representative which must be present in sessions. Results: Of the 20 hospitals, 5 (30.8%) were educational. The whole sessions which must be established were 600, but only 257 (42.8 %) were established. The discussed problems in relation to 5 responsibility of medical records committee were 513 topics which 360 of them (70.2%) were agreed, 50 (9.8%) refused, and 98 problem (19.1%) were questionable. As the results showed, the physician and financial representative were absent in 63 medical records committee sessions (36.2%). Conclusion: Medical records committee must be more active than the past. Because of importance of medical record committee, the sessions must be establish regularly, the decisions mus follow up, and evaluation of the medical records committee should be done by own hospital annually. Key words: Medical Records; Professional Staff Committee; Information Management; Hospitals; Forms and Records Control
Azar Kabirzadeh; Benyamin Mohsenisaravi; Zolikha Asghari; Ebrahim Bagherianfarahabadi; Rahim Bagerzadehladari
Volume 4, Issue 2 , September 2007
Abstract
Abstract Introduction: Hospital staff, because of their responsibility for keep health and treatment of patients, may be affected by many stressful factors. In this study, rate of general health, stress level, and stressful factors in medical records staff working in Mazandaran hospitals was surveyed. ...
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Abstract Introduction: Hospital staff, because of their responsibility for keep health and treatment of patients, may be affected by many stressful factors. In this study, rate of general health, stress level, and stressful factors in medical records staff working in Mazandaran hospitals was surveyed. Methods: In this descriptive (cross sectional) research, all medical record staff were participated (no sampling). General health questionnaire (GHQ), Osipow questionnaire (for rate of stress), and a researcher made questionnaire (for find out the stress factors) were used. Data was analyzed with SPSS software. Results: The staff working in private hospitals had a better general heath condition. Medical records administrators had more stress. The rate of stress in medical records staff (with academic degree) and in staff with no academic degree was in the same level; but general health level in staff with academic degree was higher. k2 test showed that there was not any significant relation between rate of general health (P = 0.06), stress (P = 0.21) and course of education. Conclusion: The general health condition in all staff was in acceptable rate. Also, the stress level was in natural rate. Attention to medical records workers because of relationship with patients and duration of the time which they must work, for removing stressful factors is suggested. Keywords: Stress; Occupational Health; Allied Health Personnel; Medical Records; Public Health; Mental Health
