ارزیابی عملکرد بخشهای مدارک پزشکی بیمارستان های آموزشی شهر کرمانشاه در سال 1386

Introduction: Medical Records Departments play an important role in evaluation and planning for performance of care services quality and quantity. This study was aimed to evaluate the performance of the Medical Record Department of Kermanshah Educational Hospitals by Standards of Ministry of Health & Medical Education. Methods: This is an applied descriptive cross-sectional research Research population includes medical records departments of hospitals of affiliated of Kermanshah medical university and medical sciences. Needed data has been collected by Interviews and Observations, (using a questionnaire and four check-lists for Admission, Filing, Coding and statistics units). To analyze of data, each four checklists of units was assigned 100 scores and then the performance average of each unit was calculated and compared. Results: The best performance was for statistics units by average 70/5% and lowest of it was for filing units by average 56/3%. The best total performance of MRD was for Imam Reza hospital by average 83/25% and the lowest of it was for Motazedi hospital by average 48/6%. Conclusion: Some hospitals use obsolete books for diseases coding. None of hospitals have written instructions pertinent to destruction of ambulatory, emergency and inpatient records. Most of filing units don’t use correct filing system.