Year 2020, Volume 2 , Issue 2, Pages 137 - 148 2020-08-07

Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka

S.m.n.s.m. MALLAWARACHCHİ [1] , Chandana Harendra MALLAWARACHCHI [2]


          The Bed Head Ticket (BHT) is the medical record of the in-ward patient in the Sri Lankan health system. Nursing Officers (NOs) are one of the main stakeholders in maintaining medical records for hospitalized patients. The aim of the present study was to assess the knowledge and practices of NOs in medical record keeping regarding inward patient care.
          All NOs Base Hospital Warakapola (BHW) were recruited in the study. Their knowledge and practices regarding medical record keeping were assessed using a self-administered questionnaire. Five hundred BHTs were studied retrospectively in the same hospital with the use of a check list to ascertain the actual practices.

          More than half of NOs were not aware of the existence of the general circular pertaining to the maintenance of medical records. Only 62% NOs were found to be aware of when to send the BHT to the record room once the patient was discharged. 
          A majority of 91.8% NOs were not aware that the BHT was the sole source of information for Indoor Morbidity and Mortality Return (IMMR). Legibility and completeness of entries made by NOs were satisfactory in 83.6% and 16.2% of BHTs respectively. The knowledge regarding the guidelines pertaining to the management of medical records was poor among NOs. Their basic knowledge on the timeliness of record keeping and flow of medical information system was also not satisfactory according to the study. Selected aspects in practices of NOs in medical record keeping reflected the gaps in knowledge.

Bed Head Ticket, Medical Record Keeping, Nursing Officers, Knowledge, Practices
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Primary Language en
Subjects Health Care Sciences and Services
Journal Section Articles
Authors

Author: S.m.n.s.m. MALLAWARACHCHİ (Primary Author)
Institution: Ministry of Health,Sri Lanka
Country: Sri Lanka


Orcid: 0000-0003-4238-8931
Author: Chandana Harendra MALLAWARACHCHI
Institution: Medical Research Institute
Country: Sri Lanka


Supporting Institution Self-funded
Thanks To Medical Superintendent and Special Grade Nursing Officer of Base Hospital, Warakapola, for the administrative support
Dates

Publication Date : August 7, 2020

Bibtex @research article { jhesp726214, journal = {Journal of Health Systems and Policies}, issn = {2667-4920}, eissn = {2718-0050}, address = {İstanbul Medipol Üniversitesi Kavacık Mah. Ekinciler Cad. No.19 Kavacık Kavşağı - Beykoz 34810 İstanbul}, publisher = {Istanbul Medipol University}, year = {2020}, volume = {2}, pages = {137 - 148}, doi = {}, title = {Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka}, key = {cite}, author = {Mallawarachchi̇, S.m.n.s.m. and Mallawarachchı, Chandana} }
APA Mallawarachchi̇, S , Mallawarachchı, C . (2020). Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka . Journal of Health Systems and Policies , 2 (2) , 137-148 . Retrieved from https://dergipark.org.tr/en/pub/jhesp/issue/54975/726214
MLA Mallawarachchi̇, S , Mallawarachchı, C . "Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka" . Journal of Health Systems and Policies 2 (2020 ): 137-148 <https://dergipark.org.tr/en/pub/jhesp/issue/54975/726214>
Chicago Mallawarachchi̇, S , Mallawarachchı, C . "Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka". Journal of Health Systems and Policies 2 (2020 ): 137-148
RIS TY - JOUR T1 - Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka AU - S.m.n.s.m. Mallawarachchi̇ , Chandana Mallawarachchı Y1 - 2020 PY - 2020 N1 - DO - T2 - Journal of Health Systems and Policies JF - Journal JO - JOR SP - 137 EP - 148 VL - 2 IS - 2 SN - 2667-4920-2718-0050 M3 - UR - Y2 - 2020 ER -
EndNote %0 Journal of Health Systems and Policies Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka %A S.m.n.s.m. Mallawarachchi̇ , Chandana Mallawarachchı %T Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka %D 2020 %J Journal of Health Systems and Policies %P 2667-4920-2718-0050 %V 2 %N 2 %R %U
ISNAD Mallawarachchi̇, S.m.n.s.m. , Mallawarachchı, Chandana . "Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka". Journal of Health Systems and Policies 2 / 2 (August 2020): 137-148 .
AMA Mallawarachchi̇ S , Mallawarachchı C . Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka. JHESP. 2020; 2(2): 137-148.
Vancouver Mallawarachchi̇ S , Mallawarachchı C . Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka. Journal of Health Systems and Policies. 2020; 2(2): 137-148.
IEEE S. Mallawarachchi̇ and C. Mallawarachchı , "Knowledge and Practices of Nursing Officers regarding Medical Record Keeping in a Government Hospital, Sri Lanka", Journal of Health Systems and Policies, vol. 2, no. 2, pp. 137-148, Aug. 2020