Zeitschrift für Patientenversorgung

Abstrakt

Documentation and Registration as a Tool for Quality Health in Federal Medical Centre, Owo, Ondo State, Nigeria

Yusuf Popoola, Ridwan Adesola, Ogundiran Samuel, Ogochukwu Okonkwo, Olutunde Michael, Afolabi Omolola

Introduction: Healthcare facilities have existed for a long time with the responsibility of providing care to patients, which is often documented.

Aim: To determine documentation and registration as a tool for quality health in Federal Medical Centre, Owo.

Methods: The research design employed in this study is a descriptive survey design. The total enumeration sampling technique was used because the population of the focused group is manageable. In all, seventy-three (73) respondents were recruited for this study and a response rate of 100% was achieved. The data were analyzed using both inferential and descriptive statistics using frequency distribution tables and simple percentages, mean, and standard deviation with the aid of Statistical Package for Social Sciences (SPSS) 20.

Results: This study showed that all 100 (100.0%) respondents claimed that quality patient documentation should be accurate, concise, and logical in an organization as it helps to improve the quality of service rendered to patients among health information professionals and that quality patient documentation should be written, legible, reliable and complete. Also, the majority 67 (91.7%) of the respondents strongly agreed that quality patient documentation should be able to inform good decision-making can be drawn out of quality patient documentation. The hypothesis of this study also reveals that the respondent’s knowledge does not impact their years of experience or level of their education since the P-value is more than 0.05.

Conclusion: This study concludes that proper documentation has an immense impact on services rendered in healthcare facilities and also enhances adequate planning by the facility.