Benchmarketing of Medical Records at Eye Hospital at New Delhi
Agency : Benchmarking, Medical Records, MRD Policy
Objective : Detailed study was done to see how strong the information
system (Medical Records Department) at Eye hospital was done. Relevant facts
were taken from journals and internet as a part of literature review and secondly, old patient records, direct interaction
with hospital staff was done to gather primary
Background : Not Available
Methodology : This retrospective study is based on, both secondary
and primary data. Relevant analysis
was done to formulate strategies in order to provide
solution to the given objective. Random sampling was done
for retrospective part and whole population
was studied for prospective part. Fro
content analysis 757 files were scanned out of which 400 were taken form the
past data and 357 files were taken for prospective study. The strategies were divided according
to the key findings. Contribution was met with success, and thus
further recommendations were done.
Findings : MRD and general store should be in separate
place. Lack of signage found. Space of store room is
cramped. Security is not adequate. MRD policy is not implemented.
The quality of consent forms is very
found to be very poor and the print is also not clear. Coding system is
not present. Records are not
received every day. For cataract occupies the least
% of discrepancies were found. Procedures like cyclocryotherapy, pupilloplasty, probing and syringing have 100%
discrepancy. Only 8 elements
out of the 36 were seen in IMS 1 and IMS
5. Somewhat compliance is noted in IMS 7 (42.8%) which pertains to the procedure laid down for medical audit. It was also found
that documented procedure is not present.
Arrangement and configuration of records is not standardized. A lack of awareness and training is there
amongst all the staff members specially doctors.
Recommendations : Formulating a medical records
department policy is recommended on priority. Some Architectural suggestions were also be implemented. Documents mentioned
in the policy should be maintained. Filled consent forms of OPD procedures
should be taken care off by the MRD.
Detailed study was done to see how strong the information system (Medical Records Department) at Eye hospital was done