Open AccessA quantitative study on completeness rate of documentation in psychiatric medical records
Author(s) -
Zahra Ebnehoseini,
Hediye Khorasani,
Fatemeh Moharari,
Ali Ebrahimi,
Masoumeh Boroujerdi,
Fatemeh Jamei,
Mohammad Reza Mehri,
Hamed Tabesh
Publication year - 2022
Publication title -
indian journal of psychiatry/indian journal of psychiatry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.485
H-Index - 34
eISSN - 1998-3794
pISSN - 0019-5545
DOI - 10.4103/indianjpsychiatry.indianjpsychiatry_495_21
Subject(s) - documentation , medical record , medicine , mental health , psychiatry , psychiatric hospital , health care , medical emergency , family medicine , computer science , economics , radiology , programming language , economic growth
Mental disorders are one of the leading causes of illness and disability worldwide. According to the World Health Organization (WHO), one in four people in the world will be affected by mental or neurological disorders during their lifetime. Regular evaluation of mental health outcomes plays an important role in making decisions about timely treatment of the patient. Studies show that a medical record does not provide enough information about the diagnosis, current symptoms, psychiatric medications, and side effects of current medications and treatments for ongoing health care. In this study, the completeness of paper-based psychiatric records was investigated.