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Description of medical records activity:
The former medical records' officials of this hospital were Mr. Gholam Reza Zohre Bakhtiyari and Mr. Ibrahim Montazari. They have worked a lot for the improvement of medical records in hospital.
Medical Records Field is a new science improving day by day. The situation of medical records in this hospital has had significant improvement.
The most important activities are as follows:
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Optimization of the process of patient’s reception
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Facilitation in the process of organizing a case
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Increasing the accuracy and speed of reception of hospitalized patients
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Using expert forces in the unit of reception
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Equipping unit of reception and medical records to a computer
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Development in the unit of medical records
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Supervision and emphasized advice in completing cases. So in the recent conditions, cases have original and other specific pages. Delivering a case is completely managed quantitatively and qualitatively. The cases have been more complete than past time, so that the unit of discharge from delivering uncompleted cases.
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Increasing the activity and effectiveness of unit of coding the patients
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Controlling archived of cases and following the lost and unsettled cases
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Controlling & preventing from using non standard forms in cases
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Developing the physical space of unit of medical records
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Correct delivery system of cases to units
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Correct delivery system of cases to unit of medical records
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Instructing the reception personnel based on completing all items of reception paper
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Binding reception personnel based on reception of a patient is done through her/his identification card or insurance notebook in non emergency cases
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Emphasizing on confidentially of patient’s case information and person not in group of therapy can see a patient’s case under supervision of chief of hospital
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Emphasizing on moral principles and having a good & suitable contact with a patient
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Facilitation & speed in answering the clients
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Emphasizing on a good relation with hospital personnel & its units
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Dynamism and on time forming of the committee of medical record & following the mentioned cases
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Holding educational sessions for personnel of reception & the secretaries of units in relation with completing & documentation of cases
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medical records activity Mashhad university of medical sciences Dr. sheikh hospital