Sina Aziz, Masood Hussain Rao.
Existing record keeping system in government teaching hospitals of Karachi.
Pak J Med Res Jan ;40(1):0-.

A Study to determine the deficiencies in the existing record keeping system in government teaching hospitals of Karachi was conducted from 01.01.1998 to 30.11.1998. A total of 9725 pre-coded proformas were filled from 136 units of all the hospitals including out patient departments (OPD), wards, and emergencies. Majority of the records (52.2%) were retrievable within one hour. The mean with S.D of patients seen per day at all the hospitals were 122.49 ± 92.25 (57 OPDs), 30.04 ± 16.24 (75 wards) and 186.25 ± 145.80 (4 emergencies). In majority units (57.4%), the stationery for record keeping was either not provided or not enough provided. Only 39.0% units have 75% or more required information on records. The important information (except age) i.e. temperature, pulse rate, blood pressure, diagnosis, weight, prescribe dose, history of patient, laboratory findings, previous record and discharge report were lacking. It is therefore essential that uniform OPD, ward and emergency slips should be developed having all important quarries. So that data could be utilized for research purposes along with better planning and management of the hospital and procurement plan of the government.

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