Medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-01

Background and Objective: One of the factors that a physician can not defend himself in claims is uncompleted medical files of patients. This study was done to evaluate the knowledge and practice rate of medical assistants and students in Semnan Medical University. Methods: This descriptive and anal...

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Autores principales: hassan taheri, mehrdad kashifard
Formato: article
Lenguaje:EN
FA
Publicado: Babol University of Medical Sciences 2003
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Acceso en línea:https://doaj.org/article/bce81c6c5a624f16a63ac4746c76686a
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spelling oai:doaj.org-article:bce81c6c5a624f16a63ac4746c76686a2021-11-10T09:18:29ZMedical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-011561-41072251-7170https://doaj.org/article/bce81c6c5a624f16a63ac4746c76686a2003-12-01T00:00:00Zhttp://jbums.org/article-1-2789-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170Background and Objective: One of the factors that a physician can not defend himself in claims is uncompleted medical files of patients. This study was done to evaluate the knowledge and practice rate of medical assistants and students in Semnan Medical University. Methods: This descriptive and analytical study was performed to study the knowledge and practice rate of 134 medical assistants and students regarding medical documentation of provided care in 2000-2001. A twelve-section questionnaire and a checklist were used after confirming their validity and reliability. Data was gathered by interviewing with assistants and medical chart review. Findings: The results showed that 60% of assistants did not know legal aspects of documentation, 74.8% of them did not know how to use abbreviations in final diagnosis and surgeries. 85.8% didn’t know duration of confirmation of verbal orders. The relationship between knowledge and educational courses was significant (P<0.05). Only 10% completed the medical chart legally. Most of assistants tended to record clinical data. There was a significant relationship between practice, education course and knowledge (P<0.05). Conclusion: According to the results, the knowledge and practice were weak. Process of clinical education must be evaluated in outpatient and inpatient wards.hassan taherimehrdad kashifardBabol University of Medical Sciencesarticleknowledgepracticemedical assistants and studentsdocumentationmedical disciplineMedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 5, Iss 5, Pp 67-73 (2003)
institution DOAJ
collection DOAJ
language EN
FA
topic knowledge
practice
medical assistants and students
documentation
medical discipline
Medicine
R
Medicine (General)
R5-920
spellingShingle knowledge
practice
medical assistants and students
documentation
medical discipline
Medicine
R
Medicine (General)
R5-920
hassan taheri
mehrdad kashifard
Medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-01
description Background and Objective: One of the factors that a physician can not defend himself in claims is uncompleted medical files of patients. This study was done to evaluate the knowledge and practice rate of medical assistants and students in Semnan Medical University. Methods: This descriptive and analytical study was performed to study the knowledge and practice rate of 134 medical assistants and students regarding medical documentation of provided care in 2000-2001. A twelve-section questionnaire and a checklist were used after confirming their validity and reliability. Data was gathered by interviewing with assistants and medical chart review. Findings: The results showed that 60% of assistants did not know legal aspects of documentation, 74.8% of them did not know how to use abbreviations in final diagnosis and surgeries. 85.8% didn’t know duration of confirmation of verbal orders. The relationship between knowledge and educational courses was significant (P<0.05). Only 10% completed the medical chart legally. Most of assistants tended to record clinical data. There was a significant relationship between practice, education course and knowledge (P<0.05). Conclusion: According to the results, the knowledge and practice were weak. Process of clinical education must be evaluated in outpatient and inpatient wards.
format article
author hassan taheri
mehrdad kashifard
author_facet hassan taheri
mehrdad kashifard
author_sort hassan taheri
title Medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-01
title_short Medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-01
title_full Medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-01
title_fullStr Medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-01
title_full_unstemmed Medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, Semnan Medical University, 2000-01
title_sort medical assistants and students knowledge and practice rate regarding documentation of care provided to patients from medical discipline aspect, semnan medical university, 2000-01
publisher Babol University of Medical Sciences
publishDate 2003
url https://doaj.org/article/bce81c6c5a624f16a63ac4746c76686a
work_keys_str_mv AT hassantaheri medicalassistantsandstudentsknowledgeandpracticerateregardingdocumentationofcareprovidedtopatientsfrommedicaldisciplineaspectsemnanmedicaluniversity200001
AT mehrdadkashifard medicalassistantsandstudentsknowledgeandpracticerateregardingdocumentationofcareprovidedtopatientsfrommedicaldisciplineaspectsemnanmedicaluniversity200001
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