Document Type : Original Article(s)

Authors

• ÙŽArezoo Babaei
• Fereshteh Salavati
• Nahid Tavakoli
• Rahmatollah Tavakoli
• Mehdi Reeisi
• Farid Golmohammadi
• Abdollah Mirzaei

Abstract

Introduction: The information recorded in medical sheets can help us facilitate the treatment process, recognize the quality of performance of the medical staff, plan health care programs and make accurate and appropriate decisions. This study intends to compare the quality of recording information in admission and summary sheets of three hospitals in Isfahan in the first six months of 1381. Materials and methods: This is retrospective study in which the information recorded in the admission and summary forms of 571 in-patients in three hospital in Isfahan were descriptively examined in seven checklists. Results: The private hospital enjoyed the highest frequency of recording information in admission and summary sheets. The frequency of recording information in educational and private hospitals was similar. However, the frequency of recorded information in the two hospitals indicated a meaningful difference that in the private hospital. Discussion: The findings reveal that admission and summary sheets are not completely filled in and the responsible authorities must pay due attention to the process of recording medical information in the hospitals. Key words: Admission and discharge sheets, summary sheets, medical files.