Comparative Study on the Use of Temporary Case note in Federal and State Tertiary Hospitals in Bayelsa State, Nigeria

Abstract

This research comparatively examined the use of temporary case notes at the Federal medical
Centre (FMC) and the Niger Delta University Teaching hospital (NDUTH) in Yenagoa, Bayelsa
State,Nigeria. The objective of the study was to among others, ascertain the cause(s) for creating
temporary case notes and its purpose as well as the challenges bedevilling its use by medical
professionals in hospitals. The study followed a survey research design in the collection of primary
data from 185 healthcare professionals in the two medical hospitals. Moreover, frequencies,
percentages and mean scores were used in the analysis of the data. The findings shows’ that the
respondents asserted that mislaying and misfiling of patient’s original health records and the over-
dependence on a manual system that is burdensome are often the catalyst of temporary case notes
in hospitals. The findings also suggests that the purpose of deploying temporary case notes in most
hospitals is to ensure a process that facilitates patient’s access to healthcare services devoid of any
impediments. The study however observed that respondents view the use of temporary case notes
as not equivalent to the original medical record and therefore a challenge to qualitative healthcare
service delivery. The research therefore recommends that a comprehensive health records
management policy should be formulated to safeguard private medical records of patients and
outline the conditions that guide the retrieval and use of medical records by public and private
entities in the country. In addition, manual record systems should be overhauled with the
introduction of electronic health record management systems to ensure efficiency.