Health Care : Current Reviews

ASSESSMENT OF RELEVANCE OF ADMISSION CLERKING CRITERIA TAUGHT TO KAU MEDICAL STUDENTS TO REAL HOSPITAL PRACTICE

8^th World Congress on Healthcare & Medical Tourism

November 17-18, 2016 | Dubai UAE

Kamal Hanbazazah, Hassan Balubaid, Talal baksh, Rashid Barnawi, Abdulaziz Ghurab, Sultan Alfaer, and Mohammed Bukhari

King Abdulaziz University, Saudi Arabia

Posters & Accepted Abstracts: Health Care: Current Reviews

Abstract:

Completeness of medical record is essential as deficiencies could pose risk to patients�?? health. Interns/residents who do the admission clerking are therefore expected to take a detailed history and perform a thorough physical examination to all patients at admission. We are questioning the completeness of their notes according to what they had been taught as students. A retrospective study of 860 patients who were admitted during two months from 1st of December 2014 to 31st of January 2015. Admission notes were reviewed through the electronic medical record health information system and were evaluated using a checklist structured using the referenced textbooks for medical students. The data was summarized into frequency and relative frequency. Average informativeness index was calculated using Guilbert�??s equation. The overall average informativeness index was 50%, which is unsatisfactory. In the history taking part of the survey, In the history taking part of the checklist, notes of �??associated symptoms�?� were the most informative (82.4%) while previous episodes, family history medication and allergies were informative in5.6%, 2.9%, 4.8% and 1.9% of the notes, respectively. The physical examination part shows an overall extreme lack of informativeness especially breast examination that wasn�??t documented informatively in any of the notes. This retrospective study delineated that the standards are not completely followed by interns/residents. Future research should be conducted regarding the reasons as an attempt to solve this issue.

Biography :

Kamal Alaa Hanbazazah is currently a medical intern at king abdulaziz university hospital and resides in Jeddah. He is currently doing research in medical education. Kamal is interested in ENT and urology. In time outside the library, he enjoys reading, exercising, and spending time with his family and friends.

Email: kamal_3_7@hotmail.com