African Journal of
Medical and Health Sciences

OFFICIAL PUBLICATION OF THE FEDERAL TEACHING HOSPITAL, ABAKALIKI, NIGERIA
  • Abbreviation: Afr. J. Med. Health Sci.
  • Language: English
  • ISSN: 2384-5589
  • DOI: 10.5897/AJMHS
  • Start Year: 2017
  • Published Articles: 17

Full Length Research Paper

Quality of hospital admission documentation: A study in an emergency paediatric unit of a tertiary hospital in Nigeria

K.O. Isezuo
  • K.O. Isezuo
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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A. Adamu
  • A. Adamu
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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F. B. Jiya
  • F. B. Jiya
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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T. Yusuf
  • T. Yusuf
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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U. M. Sani
  • U. M. Sani
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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N. M. Jiya
  • N. M. Jiya
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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B. O. Onankpa
  • B. O. Onankpa
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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P. K. Ibitoye
  • P. K. Ibitoye
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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M. O. Ugege
  • M. O. Ugege
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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B. I. Garba
  • B. I. Garba
  • Department of Paediatrics, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria.
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  •  Received: 03 March 2018
  •  Accepted: 02 May 2019
  •  Published: 31 July 2019

References

Araoye MO (2004). Sample size calculation. In: Araoye M (Ed): Research Methodology with Statistics for Health and Social Sciences. Nathdex (Publ) Ilorin, pp. 115-121.

 

Attena F, Di Palma MA, Esposito S, Galdo V, Gimigliano A, Parmeggiani C, al e (2010). Original article Quality improvement of medical records in a teaching hospital. Journal of Preventive Medicine and Hygiene 51:53-56.

 

Callen JL, Alderton M, McIntosh J (2008). Evaluation of electronic discharge summaries: a comparison of documentation in electronic and handwritten discharge summaries. International Journal of Medical Informatics 77(9):613-620.
Crossref

 

Campbell P, Lawrence A, Mahboobani S (2017). Acute Medical Admission Clerking: ticking the boxes but are we missing the point? Watford General Hospital, West Hertfordshire Hospital Trust. 

 

Chamisa I, Zulu B (2007). Setting the records straight--a prospective audit of the quality of case notes in a surgical department. South African Journal of Surgery 45(3):92-95.

 

Daly CC, Butler M (2013). Safety Comes First: Are Doctors Attentive Enough to their Initial Clinical Assessment Notes? Irish Medical Journal 106(10):316-318.

 

Daly M (2008). Clinical audit criteria and guidance. Prepared by the Clinical Audit Criteria and Guidance Working group and updated with feedback by Majella Daly. 

View

 

Green E, Gauher S (2012). Improving safety in a District General Coronry care unit- a simple intervention with far reaching consequences. West Middlesex University Hospital NHS Trust. 

 

Kentley J, Fox A, Taylor S, Hassan Y, Filipek A (2016).The use of a pro forma to improve quality in clerking vascular surgery patients. British Medical Journal. Quality Improvement Reports; u210642.w4280 
Crossref

 

Mann R, Williams J (2003). Standards in medical record keeping. Clinical Medicine 3(4):329-332.
Crossref

 

National High Blood Pressure Education Program, Working Group on High Blood Pressure in Children, Adolescents (2004). The Fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 114:555-576.
Crossref

 

Pandit U (2014). Study in the Quality of Clinical Documentation Practice in Chitwan Medical College Teaching Hospital, Nepal. Journal of Nepalgunj Medical College 12(2):11-16.
Crossref

 

Raza M (2012). Good Medical Record Keeping. International Journal of Collaborative Research on Internal Medicine 4(5):535-543.

 

Ridyard E, Street E (2015). Evaluating the Quality of Medical Documentation at a University Teaching Hospital. BMJ Quality Improvement Reports 4(1).
Crossref

 

Royal College of Physicians Health Informatics Unit Information on the quality of medical note keeping to support appraisal for revalidation. London: RCP, 2011. 

View

 

Towers AL (2013). Clinical Documentation Improvement-A Physician Perspective: Insider Tips for getting Physician Participation in CDI Programs. Journal of AHIMA 84(7):34-41.

 

Twigg J, Briggs T, Parker C, Miller R (1993). Notes: a suitable case for audit. Postgraduate Medical Journal 69:578-580.
Crossref

 

Unnewehr M, Schaaf B, Marev R, Fitch J, Friederichs H (2015). Optimizing the quality of hospital discharge summaries - a systematic review and practical tools. Postgraduate Medicine 127 (6):630-639.
Crossref