Completeness and Readability of Health Information in Hospitals Records – North Kordofan State-Sudan 2015


  • Siham Ahmed Balla Department of Community Medicine, Faculty of Medicine, University of Khartoum. Khartoum , Sudan. Postcode: 11111
  • Eman Malik Abdel Rahman Mohammed Health Information Drectorate, North Kordofan Ministry of Health, North Kordofan State-Sudan
  • Amel Elamine Mohamed Elnor Department of Community Medicine, Faculty of Medicine Omdurman Islamic University- Khartoum , Sudan
  • Taha Ahmed Elmukashfi Elsheikh Department of Community Medicine, Faculty of Medicine, University of Khartoum. Khartoum , Sudan. Postcode: 11111


completeness, hospital, information, pediatric, files, internal medicine.


Documentation of patients` information in the hospital registry is crucial for efficient quality of care. The objective was to assess the completeness and readability of patients` information in the inpatients files of internal medicine and pediatric departments. A descriptive audit study carried out in four hospitals in North Kordofan State. A total of 549 and 555 inpatients` files were reviewed from the internal medicine and pediatric departments respectively. A structured review checklist was used for the audit.  Data was managed by SPSS version 20. Comprehensiveness proportions were calculated manually. Chi square test at 95% CL was used for comparison. Complete and readable full names of patients were shown in 6.2% and 34.2% of internal medicine and pediatric files respectively. Patients` full contact address was complete and readable in 11.3% and 4.5% respectively. Only 0.5% of pediatric files had recorded age. Completeness of basic information in inpatients` files was significantly different in favor to the internal medicine department, P- value=0.01. Documentation of clinical assessment items was complete in internal medicine files (65.6%) and pediatric files (62.5%). Pediatric files had complete readable vaccination history (55.7%), complete readable perinatal, natal and postnatal history (40%) and complete readable milestones history(29.9%). The summary discharge pages had comprehensiveness scores, 13% and 18.7% in internal medicine and pediatric files respectively, P-value 0.01. Date of discharge was adequately complete in 74.1% and 77.5% of the internal medicine and pediatric files respectively. Information in hospital inpatients` files was not complete.

Two thirds of inpatients` files were complete and readable for clinical assessment items. The childhood developmental history was under-documented. The summary discharge pages were not completely documented except the date of discharge.  A reform plan and computerization of the data base is recommended. 


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How to Cite

Balla, S. A., Mohammed, E. M. A. R., Elnor, A. E. M., & Elsheikh, T. A. E. (2017). Completeness and Readability of Health Information in Hospitals Records – North Kordofan State-Sudan 2015. American Scientific Research Journal for Engineering, Technology, and Sciences, 33(1), 69–75. Retrieved from