Determination of occupation and other factors that may have an impact on diagnosis and treatment in medical records
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Tarih
2008
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ortadogu Ad Pres & Publ Co
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Objective: Industrialisation increased the impact of occupation on health. Accurate diagnosis and treatment requires detailed medical and occupational history. Material and Methods: The study has been performed in 19 different departments of Kirikkale University Hospital. A total of 950 patients' charts were retrospectively reviewed for accuracy of medical records whether they contain knowledge about occupation, environment and nutritional status as well as other important factors. Results: Only 34.7% of the necessary parameters were recorded in the medical charts, remaining 65.3% of the parameters were not recorded. Regarding the occupational history, 10.3% of the patients' jobs were properly recorded, 2.4% of the charts contained length of work and 2.5% had the information of previous jobs. Environmental hazards exposures were reported in 3.9% and nutritional status in 7.5%. These parameters are the least recorded in the charts. Conclusion: Our study showed that medical charts have insufficent medical knowledge. Occupational, environmental and nutritional status were seldom questioned and recorded that may lead improper diagnosis and treatments.
Açıklama
Anahtar Kelimeler
medical records, occupations, environment
Kaynak
Turkiye Klinikleri Tip Bilimleri Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
Q4
Cilt
28
Sayı
1
Künye
closedAccess
