Appropriate data is essential to support the proper workflow of any healthcare organization. Availability of suitable data aid for managing the operations easily. Recording and documentation is one of the ubiquitous sets of strategies, processes, and procedures applicable to all organizations. Documented information promotes quality health care.
In this era of technology in healthcare which is robust and widespread most of the healthcare institutions all over the world are implementing electronic technologies across all spectra of their clinical practices to enhance health information interchange. Although recording up medical data is pivotal responsibility, it is poorly practiced in India. Medical data includes administrative and demographic information, diagnosis, treatment, prescription drugs, laboratory tests, physiologic monitoring data, hospitalization, patient insurance, etc.3
Maintaining proper healthcare records enhances convenient communication between healthcare providers and it intensify clinical decisions which may further reduce the risk of prevalence of adverse events.Data entry at hospitals reduce the paperwork and help to manage the work at healthcare organizations more efficiently. The standards of the records reflect the standards of quality of health care provided.1
The process of entering and organizing the data in an electronic device and transferring into appropriate database is called as medical data entry process4. Medical data entry process is usually performed by medical data entry specialists. They perform numerous processes such as clerical and administrative activities in medical management.6
The vital task of a data entry specialist is entering data into a health information system. Other commitments include the collection of data from various units and departments, maintaining electronic health records, running reports, and filling paperwork. (12) Trained data entry specialist enters the data, more efficiently.7
DIFFERENT SOFTWARES USED IN MEDICAL DATA ENTRY PROCESS:
STEPS INVOLVED IN DATA ENTRY PROCESS
Fig 1: steps involved in data entry process
Cost-diminishing: Digitization of documents enables a provider to get rid of physical documents, which preoccupy resources such as space, security personnel, and a decay-free environment.
Fig 2: paperwork of health care records
In this era of high technology, the importance of medical data entry process should be highlighted in the health care system and its role in patient care should be considered. We can expect a fall over in the incidence of errors in healthcare setup with the medical data entry process. Rather than relying on skilled personnel for the data input, the physician should be considered as they prevent entry errors as they have good knowledge of medical terminology and can have easy access over patient information while taking therapeutic decisions and to plan treatment protocols. India needs to be encouraged to promote the medical data entry process to promote the patient safety. As the digitalization of medical data has more assets than liabilities, it should be promoted and practiced all over the world
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