ANALYSIS OF MEDICAL RECORDS

How to Analysis of Medical Records

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Medical Record

A record of health information uniquely assigned to a single person generated by one or more encounters and maintained in written paper base or electronic format, or a combination of both,. The health record connects the physicians and other caregiver's entries. Included-but not limited to - in this information are patient demographics, progress notes, problems, medications, medical history, and post-operative summary (if applicable), laboratory data, radiology reports and discharge summary.

Quantitative Analysis

check and analyze the components parts of the Medical Record to ensure
that it is complete, adequate and accurate and its available at all times for legitimate needs of the patients, the hospital, and the Physician.

Qualitative Analysis

A review of medical record entries for inconsistencies and omissions which may signify that the medical record is inaccurate or incomplete.

Completion of Medical Records

Completing the medical records, which are deficient in number of forms or contents as per the established standard. The medical record staff reviews each case and notes down the deficiencies and (doctors visit the MRD weekly and complete them) verify with concerned staff.

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Duties and RESPONSIBILITIEs of hospital staff

Analyst 

Physician / Nurse

Analyst

About the Author

Pharmacist interested in improving the health outcome for every single case he meets.

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