Estudo do serviço de arquivo médico e estatística do Hospital São Donato/SC: resultado da pesquisa

Abstract

Medical File is responsible by conservation and availability of Medical records in a Hospital. Documental management is the better way to facilitate the access to the information, because it is a right ensured by law. Hospital São Donato (HSD) located in southern of Santa Catarina, during its existence, has not dispose a management that could make possible the access to the information for its users and nowadays it has become a problem. The great volume of medical records has obligated the Institution to divide the Medical File in several places and records that would compound Current Medical File remain scrambled to Intermediate Medical File and there is not a Permanent Medical File. Another important question is the existence of several numbers used to the same patient registered in the Institution; it makes the access to the information more difficult. The aim of this research is identify problems of access to the information from Medical File of Hospital São Donato and develop strategies to facilitate the access to the information from data. In order to identify the problems related to the access to the information, it was performed several visits to the Medical File, besides a search in a strategic bibliography substantiation to develop a Documental Management Purpose which could attend the Institution necessities in a functional and practice way. Documental Management Purpose will not bring benefits only to the Hospital São Donato, but also to the users of Medical Files, since employees, doctors, patients, or even the hospital administration, which need manifold information from Medical Records frequently.