Medical Record

Record of Hospital Patient’s Services

Medical Record

Medical Record Section is one of the component parts of the hospital which have more responsibilities to provided data of the hospital services of the patients care. Medical record considered as a clinical, scientific, and administrative as legal documents relating to patient care.  Medical Record is compelled sufficient data written in the sequence of events of the patients justify the diagnosis and warrant the treatment and its end results.

Main sources of Medical record data of patient’s services are :

  • Inpatient services
  • Out Patient’s  & Emergency Services

Medical Record Section of KCH Showing the Patients Care Services data’s as following:

Table showing total Patient’s Care Data of F/Y

OPD Record of Unit

F/Y Medical Surgical Dental ENT Orthopedic Neurology
2066/067

78349

11827

4242

2215

0

0

2067/068

74713

12011

5099

7115

3210

47

Table no 2 Showing the Emergency Services

Kanti Children’s Hospital

Total Emergency Patient’s Care 

F/Y

Total Cases

2066/2067

47456

2067/2068

46756

Table no 3 Showing the Inpatient Care Record: 

F/Y Total Inpatient Admission Total Inpatient Cured Total Inpatient Death Bed occupancy Rate %
2066/2067 9685 9285 206 91.5
2067/2068 9905 9520 187 92.2

Table no 4 showing the Top Ten (10) Diseases among Inpatient

F/Y 2067/068

 

S.N Diseases Total
1 Pneumonia 1077
2 Acute Gastroenteritis 998
3 NNS 498
4 Abscess 252
5 Enteric Fever 249
6 Septicemia 196
7 Seizure disorder 173
8 Burn/Scald 164
9 Nephritic syndrome 164
10 NNJ 162

Table no 5 showing the Radiology Services

F/Y X-Ray Above 5 X-Ray Below  5 USG CT-Scan EEG ECG
2066/2067 13935 26792 5637 0 568 271
2067/2068 14408 29087 10784 1732 556 268

Table no 6 showing the Lab.  Services

 

F/Y Micro Biology Hematology Parasitological Serology Bio-Chemistry Emergency + Blood Bank
2066/2067 16856 28488 7704 8750 40340 108118
2067/2068 19159 38989 8753 9722 41630 128225

Table no7 showing  the  Operation  Services ( Inpatient / Out Patient )

F/Y Major Intermediate Minor All Total
2066/2067 569 533 910 2012
2067/2068 705 436 1185 2326

Note :  The source of all these  records are base on Computer Entry process  in  Cash Counter And Medical Record Section ,Computer Software system  developed by MIDAS Technology PVT. Since BS2061 Kartik .

Suggestions for Further Development of Medical Record Section of KCH :

Everyone almost knows about the What is the importance of   Medical Record of the hospital. So our section   Suggested that   Hospital Administration should be take more interest to future development of this unit and should realize its importance. Medical Record System is a Co –operative venture. Our unit looking forward all the staffs of hospital must be co-operative to develop.

Lab Service Record

F/Y

Mirco Biology

Hematology

Parasitological

Serology

Bio-Chemistry

Emergency + Blood Bank

2066/067

16856

28488

7704

8750

40340

108118

2067/068

19159

38989

8753

9722

41630

128225