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DESIGN AND IMPLEMENTATION OF A COMPUTERIZED


HOSPITAL RECORDS MANAGEMENT SYSTEM
(A CASE STUDY OF FEDERAL MEDICAL CENTRE OWERRI)

TABLE OF CONTENT

Title page

Dedication

Acknowledgement

Table of Content

Abstract

CHAPTER ONE

INTRODUCTION

1.0 Introduction

1.1 Historical Background

1.2 Statement of the problem

1.3 Aims and Objective

1.4 Scope and Limitation

1.5 Definition of terms

CHAPTER TWO

LITERATURE REVIEW
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2.0 Literature review

CHAPTER THREE

SYSTEM INVESTIGATION, ANALYSIS, AND

DESIGN OF INPUT, OUTPUT FORM

3.0 Research Methodology

3.1.0 Method of Data Collection

3.1.1 Primary Methods

3.1.2 Secondary Methods

3.2 Process/Information Flowchart

3.3 Problem of the existing system

3.4 Justification of the new system

3.5 Input and output design

3.6 File design

3.7 System flowchart

3.8 Architectural designs

CHAPTER FOUR

PROGRAMMING, TESTING, IMPLEMENTATION/CHANGE

OVER

4.0 Algorithm
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4.1 Program flowchart

4.2 Source code

4.3 Implementation of the system

4.4 Documentation/user guide

CHAPTER FIVE

SUMMARY, CONCLUSION AND RECOMMENDATION

5.0 Summary

5.1 Conclusions

5.2 Recommendation

Reference

Indexes
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CHAPTER ONE

1.0 INTRODUCTION

Just like in every environment, people are posed with

question that comes up along the way to survival. When an

answer to these questions proves invalid, the health

organization shrinks away for those that can stand the test of

time. In this regard, the health institution that is known today

and called Federal Medical Centre Owerri is not an exception.

Certainly, from the day the hospital came to be (as a Military

Colonial Hospital), there has been this struggle to measure up

to the ever-evolving developments and challenges.

All the while, handling patient’s medical records have

been purely manual and this is the issue I want to address in

this project work

The society has gone so modernized as we can see,

computers have creped into virtually every forceps of human

endeavors. This has given rise to the need for very high

efficiency, effectiveness and accuracy precision in mainly

official issues. As well, careless of precautive measures in this


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much computerized society tends to make wonderful efforts

prove unrewarding. Federal Medical Center Owerri should

follow this trend of change.

Besides, virtually all kinds of data processing can be done

automatically including computation of patient’s records. What

the hospital needs are a relevant computer database

management system for a computerized data processing,

analysis, storage and retrievals in hospital-based management

system.

1.1 HISTORICAL BACKGROUND

The evolution and development of Federal Medical Center

Owerri began in 1903 as a military colonial hospital. The

objective was to treat colonial soldiers, police and other

government officials. At inception, the hospital facilities include

three wards, a male, a male ward, which accommodated both

medical and surgical patients, a female word and a maternity

ward. Other facilities available in 1903 included general out-


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patient department and a theater. The staff compliment

comprised one doctor (general practitioner) and a few nurses.

Records show that the patient's population of the hospital

in 1905 when the colonial Governor of the Northern and

Southern protectorate visited the hospital was between 5 to 15

patients and all where colonial officials. During the visit, the

Governor observed that the hospital was underutilized due to

the absence of African patronage of the hospital. Between 1905

to 1909, African or native population patronage was visible but

still low for some obvious reason.

First, there existed in minds of Africans intrinsic fear that

admission into the Whiteman’s hospital was a sure road

towards one’s death. Secondly, there was a general lack of

faith in the efficacy of the Whiteman’s medical and there was

fear that the hospital was a play for ditching Africans to pay tax

to the Whiteman’s government. However, the movement for

political agitation for self-rule and self-determination between

1930’s and 1950’s resulted to the formation of government of

eastern Nigeria in the 1940’s/ this phenomenon began a

transfer of ownership of the hospital. Furthermore, for


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unexplained reasons shell-Darcy Company a major stakeholder

in the colonial hospital and whose sole business in eastern

Nigeria was oil exploration from Owerri in the late fifties. Thus

the colonial/shell Darcy hospital was handed over to the

eastern regional government following Nigerian Independence

and premiership of Dr. M. I. Okpara, the hospital became a

district hospital and the shell Darcy arm was converted to an

amenity ward and known as Okpara Nursing Home (ONH)

The colonial hospital has a unit, the ANC clinics, and

administrative set aside for the processing and management of

patients health records. They also work hand in hand with

doctors (general practitioner) and nurses plan unit for the

smooth run of the whole process. Nevertheless, this unit is

virtually as old as the health institution itself. They have been

known for the special healthcare services of processing,

analysis, updating, keeping and monitoring of patients record.

1.2 STATEMENT OF THE PROBLEM

In any health institution, there are ways by which patients

records are been organized or analyzed in the way it will be


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well understood. In Federal Medical Center, during my

investigation, I discovered that there are problems militating

against computerization of patients records in this health

institution which includes the following:

PREPARATION OF COMPREHENSIVE RESULT SHEET OR

LABORATORY REQUEST: this concerned with the assembling

of patient’s record in their various wards in an analyzed order

for management as well as easily documentation of group

records.

CORELATES THE MANAGEMENT WITH VARIOUS

DEPARTMENTS: this is the ability of gathering data from

different departments or wards and processing these data for

management of the department so that they meet to the

demand of the management.

CONFIRMATION OF RESULTS: this is concerned with the

ensuring that results are confirmed before they are issued out

to the patients.
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ERROR TRACKING: Keeping track to errors that may emerge

as a result of the accidental or intentional occurrence.

DATABASE MANAGEMENT: Apart from the information at

various departments about patients records and the ability to

maintain a database for each department where patients

records are blanked.

1.3 AIM AND OBJECTIVES

The aim of this project is to identify the various problems

challenging the proper installation of hospital equipment, the

supply of drugs and as well as processing, storage, updating

and retrieval of patients records as much as possible.

Also, I am concerned with designing a computerized system

which can solve the problem identified, met the function

requirement and as well convince the health institution on the

need (with aid) to adopt the new system in

computerization/handing the patients record.


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1.4 SCOPE AND LIMITATION

With the tracked of time resources, this work has been

planned to address matters relating to hospital data processing

procedures. I shall be placing emphasis on departmental

database as an address in health results and records.

1.5 DEFINITION OF TERMS

HOSPITAL: A large building where people who are ill/sick or

injured are given medical treatment and care.

RECORD: A collection of related field data or information about

patients.

INSTITUTION: A body that self-departmental work for a goal,

which is their mission statement.

SYSTEM: The collection of interrelated component which

interacts regularly to perform a task.

NORMALIZATION: A set of guideline used in maintaining the

database to avoid damage.


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FIELDS: This is the least collection of characters that can

make meaning.

MANAGEMENT: This is the process of controlling, planning

decision making and directing to achieve some special goals.

IMPLEMENTATION: This is the process of adopting a system.

ANALYSIS: This is the cross-examination of patients in order

to understand more about them and then classify the illness.

STORAGE: A collection that has been stored by the computer


memory.

RETRIEVAL: It is a process of calling up information and

possibly extracting it.

SYSTEM FLOWCHART: This is a chart representation of the

interrelationship between system components.


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ARCHITECTURAL DESIGN: It is a chart that shows how the

program segments are linked up.

PROGRAM FLOWCHART: A flowchart of the project program

in question.

RELATION: This is the linking trend that exists between two or

more illness.