[Accurate compiling of the hospital discharge records according to clinicians' perception: critical issues and perspectives]. / L'accurata compilazione delle schede di dimissione ospedaliera secondo la percezione dei medici: criticità e prospettive.
Epidemiol Prev
; 42(1): 34-39, 2018.
Article
in It
| MEDLINE
| ID: mdl-29506359
ABSTRACT
OBJECTIVES:
to explore clinicians vision on hospital discharge records in order to identify useful elements to foster a more accurate compiling.DESIGN:
qualitative research with phenomenological approach. SETTING ANDPARTICIPANTS:
participants were selected through purposive sampling among clinicians of two hospitals located in Sardinia; the sample included 76 people (32 medical directors and 44 doctors in training). MAIN OUTCOMEMEASURES:
identified codes for themes under investigation vision of accurate compiling, difficulties, and proposals.RESULTS:
collected data highlighted two prevailing visions, respectively focused on the importance of an accurate compiling and on the burden of such activity. The accurate compiling is hindered by the lack of motivation and training, by the limits of the registration system and the information technology, by the distortions induced by the prominent role of the hospital discharge records in the evaluation processes. Training, timely updating of the information system accompanied by a proper cross-cultural validation process, improvement of the computer system, and activation of support services could promote more accurate compiling.CONCLUSIONS:
the implementation of services, unconnected with evaluation and control processes, dedicated to training and support in the compiling of the hospital discharge records and in the conduction of related epidemiological studies would facilitate the compliance to the compilation. Such services will make tangible the benefits obtainable from this registration system, increasing skills, motivation, ownership, and facilitating greater accuracy in compiling.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Discharge
/
Hospital Records
/
Data Collection
/
Physician Executives
/
Medical Staff, Hospital
Type of study:
Clinical_trials
/
Prognostic_studies
/
Qualitative_research
Limits:
Humans
Country/Region as subject:
Europa
Language:
It
Journal:
Epidemiol Prev
Journal subject:
EPIDEMIOLOGIA
Year:
2018
Document type:
Article