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Need for improvement of medical records.
A K Mishra
1 ,
S Bhattarai ,
P Bhurtel ,
N R Bista ,
P Shrestha ,
K Thakali ,
P Banthia ,
S R Pathak
April 15 2010
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Abstract
A medical record is a systematic documentation of a patient's medical history and care for legal and future use. A poor quality medical record can negatively affect patient care and safety. The study aims to assess the adequacy of medical records in Bir Hospital, a central hospital.