Journal of Forensic Toxicology & PharmacologyISSN: 2325-9841

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Research Article, J Forensic Toxicol Pharmacol Vol: 3 Issue: 3

The Completeness of Documentation in Non-Severe Trauma Patients: A Forensic Aspect

Boonsak Hanterdsith1* and Chaturong Kanchai2
1Department of Emergency Medicine and Forensic Medicine, Maharach Nakhonrachasima Hospital, Thailand
2Department of Forensic Medicine, Faculty of Medicine, Chiang Mai University, Thailand
Corresponding author : Dr. Boonsak Hanterdsith
Department of Forensic Medicine, Maharach Nakhonrachasima Hospital Nakhonrachasima province, Thailand
Tel: +66-0-8678-12869; +66-0-4423-5000; Fax: +66-0-4423-5916
E-mail: [email protected]
Received: March 10, 2014 Accepted: May 06, 2014 Published: May 13, 2014
Citation: B, Kanchai C (2014) The Completeness of Documentation in Non-Severe Trauma Patients: A Forensic Aspect. J Forensic Toxicol Pharmacol 3:3. doi:10.4172/2325-9841.1000123

Abstract

The Completeness of Documentation in Non-Severe Trauma Patients: A Forensic Aspect

The main objectives of this study are to evaluate the completeness of wound documentation and to evaluate missed injury from the Emergency Department (ED) in non-severe trauma patients for quality improvement in both clinical and forensic purposes. The medical records were retrospectively reviewed to compare the injury documentation between the ED and Clinical Forensic Medicine (CFM) unit. The injury documentation rate (IDR) was calculated to represent the adequacy of total number of wounds recorded.

Keywords: Wound; Injury; Documentation; Forensic aspect

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