Hospital Registration System Overview
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Questions and Answers

What is the primary purpose of maintaining waiting lists in healthcare?

  • To inform patients about their treatment options
  • To track medical staff schedules
  • To collect patient feedback
  • To prioritize admission based on urgency (correct)

Which method of maintaining waiting lists is considered the most effective according to the content?

  • Register (Bound or Loose Leaves)
  • Visible strips index (correct)
  • Visible card index
  • Vertical card index

What is a disadvantage of using a register for maintaining waiting lists in large hospitals?

  • It is too economical and efficient
  • It allows for easy updates to patient information
  • It becomes inflexible and inefficient over time (correct)
  • It requires more staff training

What characterizes the visible card index method for maintaining waiting lists?

<p>It provides a synopsis of cases while being less economical (B)</p> Signup and view all the answers

How are the visible strips in a visible strips index organized?

<p>They are arranged in overlapping belts for easy access (B)</p> Signup and view all the answers

What is the primary purpose of patient registration in a hospital?

<p>To assign hospital numbers and initiate hospital records (B)</p> Signup and view all the answers

Which of the following data is typically NOT recorded during patient registration for out-patients?

<p>Ward in which the patient is admitted (D)</p> Signup and view all the answers

What equipment is commonly used for patient registration in hospitals?

<p>Treatment cards and registers (B)</p> Signup and view all the answers

What is a key advantage of the pre-registration process?

<p>It reduces patient waiting time before seeing a doctor (B)</p> Signup and view all the answers

What is a disadvantage of pre-registration for patients?

<p>It can lead to confusion or miscommunication (A)</p> Signup and view all the answers

Which information is specifically noted for in-patients during registration?

<p>Consultant or specialist name and ward information (A)</p> Signup and view all the answers

What does pre-registration help achieve regarding patient flow?

<p>It limits overcrowding in the registration area (C)</p> Signup and view all the answers

When is the hospital number assigned to a patient?

<p>During or before the registration process (B)</p> Signup and view all the answers

What information should be recorded immediately in the admission column upon a patient's admission?

<p>Name and other patient information (A)</p> Signup and view all the answers

Which of the following is NOT included in the discharge column of the Admission and Discharge Register?

<p>Ward admitted into (C)</p> Signup and view all the answers

What is included in the Birth Register?

<p>Mother's age and type of delivery (C)</p> Signup and view all the answers

Which of the following is a purpose of maintaining an admission and discharge register?

<p>Control assignment of patient numbers (B)</p> Signup and view all the answers

In the Death Register, which information is included?

<p>Diagnosis and cause of death (D)</p> Signup and view all the answers

Which detail is essential in the Death Register regarding the deceased?

<p>Hospital number (A)</p> Signup and view all the answers

What should be included in the Birth Register to describe the newborn?

<p>Weight of the baby (D)</p> Signup and view all the answers

What is the purpose of copying information from birth certificates into the Birth Register?

<p>To ensure accuracy in health records (D)</p> Signup and view all the answers

What is the primary purpose of maintaining registers of birth and death?

<p>To collect and provide accessible statistics for future needs (A)</p> Signup and view all the answers

What is one consequence of patients failing to attend their appointments?

<p>Wastage of stationery (D)</p> Signup and view all the answers

What kind of cases are typically recorded in the Accident and Emergency Register?

<p>Minor cases requiring brief treatment (C)</p> Signup and view all the answers

Which of the following information is NOT typically included in the Accident and Emergency Register?

<p>Education level (D)</p> Signup and view all the answers

Which of the following is NOT typically found in the out-patient department register?

<p>Medical history summary (B)</p> Signup and view all the answers

What type of information is typically recorded in the in-patient/admissions and discharges register?

<p>Basic identifying information only (B)</p> Signup and view all the answers

What is the difference between the Adult emergency register and the Children/paediatric emergency register?

<p>They are the same but categorized by age (C)</p> Signup and view all the answers

What purpose does the out-patient register serve when it comes to medico-legal cases?

<p>Facilitating easy tracing of individual patients (D)</p> Signup and view all the answers

What type of incidents would require separate registers as mentioned for Accident and Police?

<p>Serious accidents needing police intervention (B)</p> Signup and view all the answers

Which option describes an essential piece of information collected in the Accident and Emergency Register?

<p>Date of arrival (B)</p> Signup and view all the answers

Why are registers in the health records department maintained?

<p>For reference and control of basic information (D)</p> Signup and view all the answers

Which of the following is included in the data recorded in the out-patient register?

<p>Patient's occupation (A)</p> Signup and view all the answers

What is likely to be included in both the Accident and Emergency and Accident and Police Registers?

<p>Patient's Religion (A)</p> Signup and view all the answers

For what purpose are the hospital data analyses derived from the registers used?

<p>For effective hospital planning by health authorities (D)</p> Signup and view all the answers

What format are the admissions and discharges registers typically maintained in?

<p>Combined into a single bound volume (B)</p> Signup and view all the answers

What information is deemed unnecessary for the admissions and discharges register?

<p>Extensive medical history (C)</p> Signup and view all the answers

What is included in the accident and police register?

<p>Nature of accident and receiving physician (A)</p> Signup and view all the answers

What does the waiting list indicate regarding patients?

<p>Patients cannot be admitted immediately due to insufficient beds. (D)</p> Signup and view all the answers

How is a patient's urgency for admission indicated on the waiting list?

<p>By terms like 'soon', 'urgent', and 'very urgent' (A)</p> Signup and view all the answers

Who is the officer responsible for managing the waiting list?

<p>The waiting list officer (C)</p> Signup and view all the answers

What is one key duty of the waiting list officer?

<p>To maintain and notify patients on the waiting list (B)</p> Signup and view all the answers

What information is critical to record for patients on the waiting list to avoid wasted beds?

<p>Patient's phone number and contact address (B)</p> Signup and view all the answers

When is a patient's name typically entered on the waiting list?

<p>After they have been an out-patient and require admission (D)</p> Signup and view all the answers

What might the waiting list officer do routinely to manage the waiting list?

<p>Follow up with patients to check if they wish to remain on the list (B)</p> Signup and view all the answers

Flashcards

What is registration in a hospital setting?

The process of creating a hospital record and assigning a unique identification number to a patient.

What is the registration desk?

The department or desk where patients first interact with the hospital, typically in the outpatient or emergency department.

What information is typically gathered during registration?

Information like the patient's name, age, sex, address, next of kin, and occupation, collected for both outpatients and inpatients.

What is a hospital number?

A unique number assigned to a patient's hospital record, used for identification and tracking.

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What is pre-registration?

A pre-registration process where patient information is collected before their arrival at the hospital, typically done through letters, phone calls, or online forms.

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What are the benefits of pre-registration?

Pre-registration helps reduce waiting times, minimizes crowding in the registration area, and ensures smoother patient flow.

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What are the drawbacks of pre-registration?

Pre-registration can be time-consuming for patients and may not always be feasible or convenient for everyone.

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What are some of the commonly used equipment for registration in a hospital?

Registers, treatment cards, patient reference cards, tracer cards, stationary, and other essential items used for patient registration.

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Hospital Register

A bound book used to record relevant data about each patient who attends the hospital.

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Out-Patient Register

A register specifically for patients who visit the hospital but are not admitted. It includes information like patient name, unit number, age, occupation, and next of kin contact.

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Admissions and Discharges Register

This register keeps track of patient admissions and discharges. It's often combined into one volume for ease of use.

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Accident and Emergency Register

This type of register is used for patients who visit the Accident and Emergency (A&E) department for immediate medical attention.

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Birth Register

A register for recording details about births that occur within the hospital. It includes information about the newborn, mother, and delivery date.

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Death Register

A register used for recording details about deaths that occur within the hospital. It includes information about the deceased, cause of death, and date of death.

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Impact of Missed Appointments

A lost appointment can lead to wasted supplies (like stationery) and the registration clerk's time.

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Importance of Registers

Registers are important for:

  1. Tracing patients: Quickly finding a patient's information.
  2. Medico-legal cases: Providing accurate records for legal purposes.
  3. Statistics: Gathering hospital attendance data.
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Hospital Number

The identification number assigned to a patient upon admission to a hospital.

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Admission (Hospital)

The process of entering a hospital for medical treatment.

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Discharge (Hospital)

The process of leaving a hospital after receiving medical treatment.

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Diagnosis (Admission)

The reason for a patient's admission to the hospital.

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Diagnosis (Discharge)

The reason for a patient's discharge from the hospital.

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Emergency/Casualty Register

A bound volume book used to maintain records of patients visiting the Accident and Emergency department for minor treatments. Includes information such as patient name, address, age, sex, and date of visit.

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Accident and Police Register

A separate register for patients with serious injuries requiring police involvement, such as road traffic accidents or gunshot wounds.

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Birth and Death Register

A register designed to record births, fetal deaths, and other important demographic data within a hospital. It serves as a source for data analysis and statistical purposes.

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Variation in Register Information

The information collected in the birth and death registers may vary depending on the type of hospital. Teaching hospitals, focusing on research and student training, require a wider range of data compared to regular state hospitals.

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Register (Bound or Loose Leaves)

A traditional method of maintaining waiting lists, involving a bound book or loose-leaf pages. While effective for smaller hospitals, it becomes inflexible and inefficient in larger settings due to its static nature and difficulty in managing changes.

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Visible Card Index

This method utilizes visible cards, allowing for case synopses to be included if desired. Although providing convenience and efficiency, it isn't cost-effective for waiting list purposes.

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Purposes of Hospital Registers

These registers are crucial for compiling vital statistics, providing data for hospital planning, and serving as official records for census purposes.

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Adult/Pediatric Emergency Register

A record that tracks the details of minor accidents and injuries treated in the Emergency department. It's often separated into adult and pediatric sections.

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Visible Strips Index

A more efficient system for managing waiting lists, using strips in belts that can be easily rearranged. This method allows doctors to see the entire list and assess priorities at a glance.

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Vertical Card Index

Vertical card index involves cards horizontally filed in trays, with edges overlapping. This system offers a structured way to maintain waiting lists and allows quick access to patient information.

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Consistency in Emergency Registers

The information included in both Adult and Pediatric Emergency Registers is the same, ensuring consistent data collection for minor emergencies.

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Information in Emergency/Casualty Register

Information recorded in the Emergency/Casualty Register includes patient name, address, sex, age, marital status, religion, occupation, ethnic group, and date of visit.

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Which waiting list maintenance method is recommended?

This method of waiting list maintenance is preferred as it allows doctors to see the complete list and assess priorities with ease. The visible strips system is dynamic and adapts to changes in the waiting list.

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What is a waiting list?

A list of patients who need to be admitted, but cannot due to lack of available beds.

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What is urgency category on waiting list?

The category of urgency given on the waiting list, indicating the need for immediate admission (e.g., 'urgent', 'very urgent').

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Who is the waiting list officer?

A senior health records official responsible for managing the waiting list and coordinating patient admissions.

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What is the purpose of checking the waiting list daily?

A daily check of the waiting list to identify patients with the highest urgency who require immediate admission.

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Why are follow-up letters sent to patients on the waiting list?

The waiting list officer contacts patients on the list to confirm if they still want to be admitted, preventing unnecessary waiting.

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How is a patient added to the waiting list?

The process of recording a patient's information, typically done after they have seen an outpatient doctor and need to be admitted.

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What is the importance of close relationship between the waiting list officer and admission clerk?

A system that ensures coordination between the waiting list officer, the admission clerk, and medical staff to manage patient admissions efficiently.

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What is the primary goal of the waiting list system?

It helps ensure patients are admitted in a timely manner based on their clinical needs.

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Study Notes

Registration System

  • Registration is the process of initiating patient hospital records and assigning a hospital number.
  • Registration desks are the primary contact point for patients.
  • Registration primarily takes place in outpatient or casualty departments.
  • Outpatient registration usually records name, age/sex, address, next of kin details, occupation, home town, state of origin, nationality, and ethnic group of the patient.
  • Inpatient registration also records admission date, consultant/specialist, and ward.
  • A hospital number is assigned to each patient's record during or before registration.
  • Information can be initially recorded in registers and then transferred to treatment cards/folders.

Equipment for Registration

  • Registers are used for recording patient information.

Pre-Registration

  • Pre-registration involves completing registration before a patient's arrival.
  • Information is collected through letters, telephone calls, or patient-completed forms.
  • Pre-registration aims to reduce wait times and overcrowding by optimizing appointment systems.

Advantages of Pre-Registration

  • Reduces patient waiting time in the registration/appointment units.
  • Minimizes overcrowding in registration/appointment units.
  • Patients don't have to wait more than three minutes before proceeding to the appropriate clinic after pre-registration

Disadvantages of Pre-Registration

  • Patients not showing up for appointments waste stationery.
  • Wasted effort for registration clerks due to patients not showing up for appointments.

Various Registers

  • Registers are used to record relevant data for patients.
  • Types of registers include outpatient, birth/death, inpatient/admissions/discharges, accident/emergency, and others.

Outpatient Department Register

  • Records patient identification data in each row for tracing.
  • Contains patient's full name, age, sex, occupation, religion, hometown, ethnic group, and next of kin information.
  • Useful for tracing patients, medico-legal cases, and collation of attendance statistics.
  • Contains the same data as the outpatient register.

Inpatient/Admissions and Discharges Register

  • Is expected to be maintained separately.
  • Contains patient admission and discharge details.

Admission and Discharge Register

  • The register's admission column contains patient information like unit number, full name, date of birth, admission date, referred from, and ward.
  • The discharge column contains discharge/death date, diagnosis, attending physician, etc.
  • Used to manage patient numbers and ensure their unique assignment.

Births and Deaths Register

  • Includes hospital number, mother's name, age, delivery type, sex, and baby's weight.
  • Includes hospital number, deceased's name, sex, age, address, and cause of death.

Accident and Emergency Register

  • Maintains details like patient's serial number, name, address, sex, age, marital status, religion, occupation, ethnic group, and date of admission.
  • Used to record and manage patient treatment if there are serious cases or those requiring police intervention.

Waiting List System

  • Waiting lists are for patients who require beds but cannot be immediately admitted.
  • Waiting list categorizes urgency levels with descriptions such as "soon," "urgent," and "very urgent."
  • Contains details like patient's name, urgency, and reason for the delay.
  • The waiting list officer manages the waiting lists and ensures appropriate follow-ups.

Maintenance of Waiting Lists

  • Common maintenance methods include registers (bound or loose-leaf), visible card index, visible strips index, and vertical card index.

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Description

This quiz covers the essential aspects of the hospital registration system, including the registration process for both outpatient and inpatient services. It highlights the importance of collecting patient information, the roles of registration desks, and the equipment used for documenting records. Understanding this system is crucial for managing patient data effectively in a healthcare setting.

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