Active & Passive Audit for Medical Records Department as per NABH:

 Active & Passive Audit for Medical Records Department as per NABH: Active Audit: Real-time Monitoring: Active audits involve ongoing, real-time monitoring of medical records. This helps identify and correct issues immediately.

Focused Review: Specific aspects of the medical records, such as completeness, accuracy, and timeliness of documentation, are reviewed systematically. Staff Training: Regular training and retraining of staff on proper documentation practices to ensure compliance with standards. Immediate Feedback: Providing immediate feedback to healthcare providers to rectify any documentation errors or omissions as they occur. Passive Audit: Retrospective Review: Reviewing medical records after patient discharge to assess documentation quality and completeness. Periodic Audits: Conducting audits periodically (e.g., monthly or quarterly) to ensure ongoing compliance with NABH standards. Data Collection: Collecting data from medical records for statistical analysis to identify trends and areas for improvement. Feedback Loop: Providing feedback based on audit findings to improve future documentation practices and patient care. BOTH AUDIT IS BEING DONE ON SPECIFIC CHECKPOINTS WHICH HAS BEEN DEFINE BY THE HOSPITAL.

Naveen Kumar Prajapati

Medical Record Officer

Fatima Hospital Gorakhpur

9415473284