Comparative Study of Quality Improvement in Interns’ History Taking by using a new medical history Form with Review of System Part and current one without this part
Publish place: Future of Medical Education Journal، Vol: 11، Issue: 2
Publish Year: 1400
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_FMEJ-11-2_007
تاریخ نمایه سازی: 20 تیر 1400
Abstract:
Background: One of the most important steps in diagnosis and treatment of diseases is taking a good medical history. Current medical history form of Ministry of Health and Medical Education in our country doesn’t have Review of System part. In this research quantity and quality of Interns’ recording ROS in a new form including this part was studied. Methods: This is a Quasi-experimental study. In control group current medical history form without ROS part and in the cases group new proposed form including ROS part were used to take medical history by interns. Quantity and quality of ROS writing were evaluated by Infectious Disease residents and specialists. All data were compared by K۲ and Fisher T test in SPSS ۲۴ software. Results: In control group, ۲% of interns had written ROS, all in incorrect place, with moderate quantity. In case group, ROS was written ۱۰۰% in correct place, with quality of low, moderate, good, very good as ۳%, ۸%, ۷۱% and ۱۸% in order of frequency. Infectious disease residents’ and specialists’ satisfaction quality as low, moderate, good, very good were ۸%, ۱۴%, ۷۲%, ۶% and ۷%, ۱۵%, ۷۱%, ۷% in order with significant difference. (p <۰.۰۰۱) Conclusions: In conclusion we found significant relation between quality and quantity of recording data with using medical history form with ROS part by interns. It is proposed to change current form to a new one with ROS part.
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Authors
Fahimeh Hadavand
Shahid Beheshti University of Medical Sciences, Imam Hossein Clinical Research Development Center, Tehran, Iran
Mehrdad Haghighi
Shahid Beheshti University of Medical Sciences, Imam Hossein Clinical Research Development Center, Tehran, Iran
Simin Dokht Shoaei
Shahid Beheshti University of Medical Sciences, Imam Hossein Clinical Research Development Center, Tehran, Iran
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