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Medical assistants and students’ knowledge and practice rate of Semnan Medical Sciences University regarding documentation of cares provided to patient from medicolegal aspect
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Mahdi Kahouei1   , Farahnaz Sadoughi , Hesam al-din Askari Majd Abadi |
| 1- , K47522000@yahoo.com |
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Abstract: (22151 Views) |
| Abstract
Background and aim: One of the factors that a physician can not defend himself in claims is uncompleted medical files of patient. This study was done to evaluate the knowledge and practice
rate of medical assistants and students in Semnan Medical University.
Materials and Methods: This descriptive analytical study was performed to study the knowledge and practice rate of 134 medical assistants and students regarding medical documentation of provided care. A twelve section questionnaire and a checklist were used after confirming their validity and reliability. Data was gathered by interviewing with assistants and medical chart review.
Findings: The results showed that 40% of assistants knew legal aspects of documentation, 25.2% of them knew how to use abbreviations in final diagnosis and surgeries. 14.2% knew duration of confirmation of verbal orders. The relationship between knowledge and educational course was significant (p<0.05) Only 10% completed the medical chart legally. Most of assistants tended to record clinical data. There was a significant relationship between practice, education course and knowledge (p<0.05)
Conclusion: According to the results, the knowledge and practice were weak. Process of clinical education must be evaluated in outpatient and inpatient wards. |
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| Keywords: Knowledge, Practice, Medical Assistants and Students, Documentation, Medicolegal |
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Full-Text [PDF 487 kb]
(2175 Downloads)
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Type of Article: Research Article |
Subject:
Forensic Medicine
Received: 2008/08/18 | Accepted: 2018/03/29 | ePublished: 2018/03/29
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