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Medical Records Division
Head of the Division
The mission of the Medical Record division is to develop, implement and continually improve the safe, confidential, systematic and effective method of receiving, filing storing, retrieving and dispatching the medical record. It serves as a basis for planning patient care, documenting communication between the health care provider and any other health professionals contributing to the patient care, assisting in protecting the legal interest of the patient and the health care providers responsible for the patients care.
A medical record is the chronological documentation of health care and medical treatment given to a patient by professional members of the health care team. It is an accurate, prompt recording of their observations including relevant information about the patient, the patient’s progress and the results of the treatment. The Division forms an Integral part of the Hospital, forming the base station for all the medical records.
Medical record keeping is not only a legal requirement but also helps in analyzing the medical care, research base, a source of back reference in case the patient seeks the care in the same hospital or the need for review of the disease suffered or medication given is there in case the patient is taking services in some other health care set up thus forming a continuity of care.. The hospital has modern technology, the highest level of environmental controls and fully trained and experienced staff who are dedicated to the maintenance of the medical records with respect to safety, security and protection from damage.
| Sl | Faculty Name | Designation |
|---|---|---|
| 1 | Jayadev G | Medical Record Officer |
| 2 | Karthika O | Medical Record Assistant |
| 3 | Nameetha S | Medical Record Attender |
The services mainly rendered by the department of MRD are:
- Dispatch of medical records for patient care purposes
- Dispatch of files for academic purposes
- Receive the medical records from the various specialties after the patient has either been discharged from the hospital or has died.
- Check the files for any discrepancies in the record and get it amended by the respective person including doctors, nurses, and other support staff.
- Assembling of IP sheets
- Arrange the files as per the order.
- Death registration online.
- Intimation of notifiable diseases
- Intimation of Medico-Legal Cases
- Inpatient file-Diagnostic coding of diseases using ICD-10
- Preparation of vital statistics
Address
MALABAR CANCER CENTRE Moozhikkara (P.O), Thalassery, Kannur District, Kerala, India-670103
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