An evaluation of the quality of health records documentation and its utilization during legal procedures (case study of Nnamdi Azikiwe University Teaching Hospital Nnewi) Department: Health Information Management By: godstimearinze Project ID: 7582 Rating: (5.0) votes: 1Rate this project12345 Price:₦4000 Get the Complete MaterialAbstractAccurate medical records documentation is crucial for providing high-quality healthcare services. Proper documentation ensures clear communication among healthcare providers, supports accurate diagnoses and treatments and serves as a legal record. However, poor and improper documentation by healthcare professionals has become a persistent issue, leading to ineffective and inadequate patient care. Failure to properly document can result in unclear diagnostic studies, incorrect treatment decisions, and further health complications. This study aimed to identify practices to improve medical records documentation and examine reasons for improper documentation. Four research questions were raised, and two hypotheses were postulated. A descriptive study design with a simple random sampling technique was employed. From a population of 897 in a selected hospital department, a sample of 273 respondents was drawn. Data were collected via questionnaires and analyzed using simple percentages and frequency distribution tables. The findings revealed that 67% of respondents affirmed the critical role of good medical records documentation in delivering healthcare services and as evidence in legal proceedings. Additionally, 61% agreed that ensuring confidentiality is essential for continuity of care. However, 73% were unaware of the uses of medical records in medico-legal cases. In conclusion, the study aimed to educate healthcare providers on the importance of excellence in medical records documentation, as it reflects and creates excellence in medical care. The principle"if it''s not documented, it didn''t happen" underscores the significance of proper documentation. Failure to document tests, patient conversations, or consultations with other providers can be presumed as events that never occurred, potentially affecting legal admissibility in court trials....Preview Download Preview +Other Health Information Management project topics and materials you might be interested in»Analysis of filing system and consequences of misfiling»Evaluation of the problems and constraints facing health record keeping and professionals»Impact of health information management in healthcare delivery»Assessment of challenges of health information management practice in General Hospital Ilorin, Kwara State»Analysis of filing system and consequences of misfiling patients health records in University of Ilorin Teaching Hospital, Kwara state»A study into causes of misfiling among health information management professionals in health records department - case study of University of Ilorin Teaching Hospital, Kwara state»Evaluation of confidentiality of patient health records among hospital staff»Factors militating against effective documentation in health care delivery system in University of Benin Teaching Hospital Benin City, Edo state»Effect of lack of health information computerization in the primary health care system»Evaluation of patient appointment system - a case study of university of Ilorin teaching hospital»Causes and consequences of breach of confidentiality of patient health information in Lagos University Teaching Hospital, Lagos state»Impact of health statistics in the health care delivery system at University of Ilorin Teaching Hospital, Ilorin, Kwara State»Impact of electronic medical records on patients waiting time in health care delivery system in Federal Medical Center, Asaba, Delta state»Evaluation of the importance of health information management in primary health care»Knowledge and perception of health information management professionals on electronic coding for quality clinical data in University of Ilorin Teaching Hospital, Ilorin, Kwara state