Document Type : Original Article
Authors
- . Nahid Tavakoli
- . Maryam Jahanbakhsh
- . Mojtaba Akbari 1
- . Mojtba Baktashian 2
- . Akbar Hasanzadeh 3
- . Samaneh Sadeghpour
1 Department of Epidemiology, School of Health and Nutrition, Shiraz University of Medical Sciences, Shiraz, Department of Research, Vice Chancellor for Research, School of Medicine
2 Department of Modern Sciences and Technologies, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3 Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan
Abstract
Background: The rate of hospital deductions is a commonly cited concern among teaching
hospitals in Iran. The objective of the present study is to access the effect of the quantitative
and qualitative analysis of inpatient medical records on deductions and identifying the major
resources of deductions. There are currently no published interventional studies that have
investigated this issue quantitatively. Materials and Methods: In an interventional study,
we reviewed all the 192 patient’s medical records (PMRs) for any documentation errors, to
determine the rate of deductions. We conducted a pilot of 30 cases prior to the actual survey.
Nonprobability‑based consecutive sampling was used. The main study was conducted in three
phases: 1. Primary evaluation; 2. Training, performance of intervention and corrective actions;
and 3. Final assessment. Comprehensive assessments of medical records and follow‑up of
error correction were carried out systematically and according to the pre‑set schedule. Pre‑ and
post‑intervention assessments were compared in order to evaluate the effect of the intervention.
Data were analyzed using the SPSS‑20 statistical software. Paired‑sample t‑test was used to
compare changes in deduction scores before and after the intervention. Differences at a P value
less than 0.05 were considered statistically significant. Results: In the initial survey of 800 PMRs,
nearly one quarter (24%) (Or 192 cases) had at least one type of deduction. The three top types
of deductions were Laboratory (47.9%), Medical radiation (45.3%), and Physician visit (35.9%).
The results showed a 2.7‑ to about 36‑fold lower rate of hospital deductions (average: 6.4‑fold;
reduction from 21131 to 3285 US dollars). Conclusion: All in all, the results of the present study
indicated that educational interventions and quantitative and qualitative analysis of inpatient
medical records are very beneficial and effective in the reduction of medical record deductions.
Keywords
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Table 4: Comparison of the deduction score (in US
Dollars**), before and after the intervention in 192
medical record cases
Type of
deductions
Mean±SD P value Reduced
rate
(times)
Before
intervention
After
intervention
Physician visit 6.47±0.87 0.35±0.22 <0.0001 18.5
Surgery
brokerage
25.66±8.92 9.37±4.55 0.001 2.7
Operating room 4.83±2.11 1.39±0.90 0.007 3.5
Medication 10.16±2.27 0.74±0.42 <0.0001 13.7
Consultation 1.85±0.43 0 <0.0001 ‑
Anesthesia 2.67±0.74 0.50±0.17 0.001 5.3
Laboratory 5.65±1.50 0.58±0.15 0.001 9.7
Medical radiation 42.11±9.44 3.18±1.39 <0.0001 13.2
Inpatient beds 6.52±1.60 0.18±0.18 <0.0001 36.1
Other 6.10±1.12 0.73±0.42 <0.0001 8.4
Total 109.49±15.29 17.02±5.13 <0.0001 6.4
The average data are mean of deduction score per each medical record.
The corresponding P values calculated by The paired‑sample T‑test; and
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