A Descriptive Study on Existing System in Medical Records Department and Its Gap Analysis in Multispecialty Hospital

Abstract

The study goals are to assess the efficiency of the current medical record system and the current system for keeping medical records and to stipulate the advantages and downsides of completely linking computerized health databases with patient anamnesis. The study analyse the existing system of documentation of the medical record department, to identify bottlenecks in the existing system of medical records, and to provide recommendations to overcome the bottlenecks and implement the required changes in the required medical records department. And to discover user responses to computerized health databases, whether users are satisfied or not with computerized health databases, and what is users' perceptions of computerized health databases through a data collection process that includes direct observation and questionnaires for MRD staff, doctors, and nurses. Therefore, the medical records department has become an important department in every hospital, providing a variety of services not only to patients but also to the hospital& efficient operation, as well as playing a key role in health promotion and patient care quality.