The following sites and search engines were used: HINARI [http://www.who.int/hinari/], Medline (Pubmed and OVID), Google scholar, selleck chemicals llc and Science Direct. The selection process is as illustrated in Figure 1. Figure 1 Flow diagram showing reviewed documents. Medical record and documentation Revised health service processes and procedures can be implemented to improve providers�� performance [8]. This provides essential information for employees [9,10]. Therefore, well-trained health professionals, high quality facility, equipment, and good record keeping systems are important for health institutions like hospitals. Patient records and registers must be kept confidential and protected. It saves time as well as increases the chance of getting the required data [11].

Reporting clinical data is a pillar for international ethical, scientific, and standardized clinical practice. Compliance with this standard provides public assurance being consistent with the principles developed by the Declaration of Helsinki, and that the clinical trial data credibility [12]. Patient records provide continuous information about patients�� medical treatment [13]. They are essential for the patients�� present and future healthcare decision making. Hence, record officers and clerks who generate and process medical data should have sufficient and basic education to spell patient names as well as other related files accurately and correctly [14]. The input data is processed into output information by the information system [15]. High standard healthcare can be ensured by the quality of the data entered the system.

This has an important impact on government budget to sustain health service provision [9]. Therefore, accurate and relevant information becomes vital in assisting governments�� decision making regarding service quality [16]. Subsequently, these record systems need to be stored in a manner that maintains integrity; and secures information confidentiality [6]. Information systems include manual and computerized data Technologies. But, the current paper-based record system is inadequate in terms of documentation, disruption, and substantial delay in the healthcare services. Advanced information technologies, on the hand, provide clinicians with real-time information access [17].

Accurate, relevant and structured information is capable of promoting excellent clinical care, measuring efficiency of treatment, and facilitating the interaction of healthcare professionals [9]. According to Clinical Laboratory Standard Institute (CLSI), guidelines should be reviewed at least annually in order to ensure appropriate processes and competence. A quality manager is responsibility for ensuring, controlling, and maintaining evidence for effective operation [18]. Records need to be stored so as to maintain integrity, protect Carfilzomib accessibility, and facilitate data retrieval system [8].