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Journal of Mazandaran University of Medical Sciences. 2009; 19 (69): 62-67
in Persian | IMEMR | ID: emr-103532

ABSTRACT

Quality of data in patient record is not a new issue. Data quality requires many details, which in this article we analyzed for validity of consent. This is a patients right and hospitals must pay attention to it, prior to providing their services. This is a descriptive chart review research. Variables are age, sex, type of admission, degree of-understanding, general condition at time of admission, and the person who signed the consent for chart, using medical information, validity of consent and education of admission clerk. This was a pilot study within each hospital, according to the number of clerks, thus, 30 records were reviewed. Validity of consent confirmed with comparison of consents with the standards. Data was analyzed with SPSS software, X2 statistics were used for determining the relation between variables and P<0/05 was significant. Results showed that of the 540 records which were reviewed, 266 [49/4%] of the patients were males and remaining were females. Range of age was from 1 day to 89 years of age. Type of admission for 258 [47/8%] was emergency and the others were admitted electively. Degree of conscious for 477[88/5%] were awake and 442[82%] were in good general condition. The 403 [74/6%] consent for care were not valid and 125[23/1%] of the consent for using data of medical records in research was also not valid. The results of this research indicated that most consent is not reliable. Every effort must be made to ensure the development of consent validity


Subject(s)
Humans , Male , Female , Consent Forms , Hospitals, Teaching , Patient Rights , Patient Admission , Medical Records
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