Kumar, Naveen P and Hoovayya, Pushottam K and Swapna, BV (2013) Impact of Medical Record Audit on Quality of Healthcare Delivery - A Corporate Hospital Experience. International Journal of Health Sciences & Research, 3 (10). pp. 66-74. ISSN 2249-9571

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Abstract

With the introduction of managerial governance and risk management the need to be aware of individual performance has become very important. The publication of hospital outcome data is becoming progressively more popular as an answer to society's increasing consensus on general “right to know”. Patients deserve and demand that we do the right things, for the right people, at the right time and that we do them right the first time. Outcome data are proved to be useful for research and monitoring trends within an organisation. An effective program of medical record audit will help to provide reassurance to doctors, their patients and managers that the best quality of service is being achieved, having regard to the resources available. This article deals with peer review mechanism, formalized into quality accreditation and the action taken to correct the deviation by peers. A proper structure & processes of Medical Records department in a medium-size private hospital has been highlighted. The checklists that were implemented to perform the audit & the mechanism with which reviews were done have been discussed in this article. A format for Corrective Action, Preventive Action form has been given, which can be tailor-made to respective organisations, need-based. This can be used to encourage quality improvement.

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