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Medical Audit of hospital records has been a major component of quality of care assessment1. The aim of the present Medical audit is to identify the areas for improvement and make necessary changes to provide a better quality medical care to the patients in tertiary care hospital like Nizam's Institute of Medical Sciences, India. The present study reveals that most of medical records were deficient in some or other information. The reasons for the insufficiency of medical records were explained by the doctors that the medical records were filled by naïve resident doctors and also due to heavy workload in areas like emergency department and critical care units preventing them from concentrating in filling the medical records.

Keywords

Health Care Quality Assurance, Medical Audit, Quality of Health Care, Medical Records

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References

Sakharkhar BK, Principles of Hospital Administration and Planning, Second edition by Jaypee Publications.

“www.nice.org.uk”. Principles of Best Practice in Clinical Audit 2002. Retrieved Aug 2010.

Dr. P. Satyanarayana, Should we practice Medical audit — Official journal of the Indian Hospital Transactions, March – June, 1994.

Donabedian, A., 1980. Explorations in Quality Assessment and Monitoring, Vol. 1, The Definition of Quality and Approaches to its Assessment. Ann Arbor: Health Administration Press.

Chassin, M. R., 1990. Practice guidelines: best hope for quality improvement in the 1990’s. Journal of Occupational Medicine, 32:1199-1206.

Richardson, F. M., 1972. Peer review of medical care. Medical Care, 10:29-39.

Goldman, R. L., 1992. The reliability of peer assessment of quality of care. Journal of the American Medical Association, 267:958-960.

O’neil, A. C.; Petersen, L. A.; Cook, E. F.; Bates, D. W.; Lee, T. H. & Brennan, T. A., 1993. Physician reporting compared with medical-record review to identify adverse medical events. Annals of Internal Medicine, 119:370-376

Brennan, T. A.; Leape, L. L.; Laird, N. M.; Hebert, L.; Localio, A. R.; Lawthers, A. G.; Newhouse, J. P.; Weiler, P. C. & Hiatt, H. H., 1991. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. New England Journal of Medicine, 324:370-376.

Kassirer, J. P., 1993. The quality of care and the quality of measuring it. New England Journal of Medicine, 239:1263-5.

Brennan, T. A.; Localio, R. J. & Laird, N. M., 1989. Reliability and validity of judgments concerning adverse events suffered by hospitalized patients. Medical Care, 27:1148-1158.

Palmer, R. H., 1991. Considerations in defining quality of care. In: Striving for Quality in Health Care. An Inquiry into Policy and Practice. Ann Arbor: Health Administration Press.

A Study on Patient Satisfaction through Extemporaneous Responses from Patients in a Tertiary Care Hospital

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Authors

N. Lakshmi Bhaskar ¹, S Naga Satish Kumar ¹, M. Meera Subhashini ¹, K. T. Reddy ¹

Affiliations
1 Department of Hospital Administration, Nizam's Institute of Medical Sciences, IN

Source

Indian Journal of Public Health Research & Development, Vol 5, No 3 (2014), Pagination: 319-323

Abstract

Understanding satisfaction and service quality have, for some considerable time, been recognized as critical to developing service improvement strategies. The inaugural quality assurance work of Donabedian (1980) identified the importance of patient satisfaction as well as providing much of the basis for research in the area of quality assurance in healthcare1. Based on this a study was conducted a study at Nizam's institute of medical sciences, a renowned tertiary care hospital, with a very short questionnaire consisting of two questions to know spontaneous responses from patients / attendants about services which gave them maximum satisfaction and dissatisfaction. Results showed that the most satisfying factor was doctors services rendered to the patients and the most dissatisfying factor was regarding housekeeping services of the hospital. It could be noted that majority of patients were happy with doctor services, but considerable portion of patients showed dissatisfaction towards nursing and housekeeping services, which are to be considered seriously by the hospital management. Few patients responded with communication gap with doctors and other hospital staff. Around half of the patients showed dissatisfaction because of delay in services. On the whole patient satisfaction is mediocre and has great scope for improvement, which can be done through proper planning, monitoring and appraisal.

Keywords

Patient Satisfaction, Patient Reported Service Quality And Quality of Health Care

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