American Journal of Public Health Research
ISSN (Print): 2327-669X ISSN (Online): 2327-6703 Website: Editor-in-chief: Apply for this position
Open Access
Journal Browser
American Journal of Public Health Research. 2013, 1(5), 101-109
DOI: 10.12691/ajphr-1-5-1
Open AccessArticle

An Audit of Documented Rehabilitees` Data at the Workers` Compensation Rehabilitation Centre (WCRC) in Bulawayo, Zimbabwe

Ngwenya Bongani1,

1Faculty of Business, Solusi University, Bulawayo, Zimbabwe

Pub. Date: May 28, 2013

Cite this paper:
Ngwenya Bongani. An Audit of Documented Rehabilitees` Data at the Workers` Compensation Rehabilitation Centre (WCRC) in Bulawayo, Zimbabwe. American Journal of Public Health Research. 2013; 1(5):101-109. doi: 10.12691/ajphr-1-5-1


The primary objective of Workers’ Compensation Rehabilitation Centre is to provide clinical rehabilitation services to patients who have work related injuries. To do this, the centre requires complete rehabilitees’ data to be transmitted from the referrer to the centre as well as across internal departments for the centre. This is because documentation of medical records is a fundamental tool for communication between health professionals. It informs the care provided, treatment, care planned and the outcome of that care as a continuous and contemporaneous record. However, the researcher was not aware of any clinical audit of documented rehabilitees’ data with respect to compliance with this requirement. This prompted a review of rehabilitees’ data for its completeness as a vital initial step towards optimisation of rehabilitees’ care pathways. The research method was a non-participatory document review of quota sampled discharged rehabilitees’ files using a descriptive and analytical research design. Data were captured using a structured data collection instrument designed and tested by the experts in the medical fraternity. The instrument was designed from information prescribed in internationally referred documents and refined using information prescribed in the Procedures Manual for the centre. Generally, rehabilitees’ information was incomplete thereby making the referral and review of patients difficult. Clinical template forms in use at the research site had inadequate form fields and this was an important factor which modelled the level of completeness of rehabilitees’ information. These inadequate form fields resulted in important facts about the rehabilitees not efficiently transmitted across departments so much that there was practically no meaningful documented dialogue on balancing benefits with the risks to patients. There is need to revise the content of the procedure manual to prescribe that all clinicians file complete discharge rehabilitees’ information in one folder as part of improving documentation in line with the principle of medical care and international standards.

documented rehabilitees’ data clinical audit workers` compensation procedure manual clinical rehabilitation data completeness

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


Figure of 3


[1]  ECRP, “European commission Radiation Protection No. 159”, Directorate-General for Energy and Transport, 2009.
[2]  Oswal, D. S, “A study of completion of radiology request forms”, Radiography , 209-213, 2009.
[3]  Pelletier, D. D, “Documentation and theTtransfer of Clinical Information in two Aged Care Settings,” Australian Journal of Advanced Nursin, Volume 22(4), 40-45, 2005.
[4]  Triantopoulous, C. T, “Analysis of radiological examination request forms in conjunction with justification of x-ray exposures”, European Journal of Radiology, 306-309, 2005.
[5]  WHO, “Guidelines for Medical Record and Clinical Documentation: WHO-SEARO Coding Workshop September 2007”, Geneva: The World Health Report, 2007.
[6]  Soimakallio S, Järvinen H, and Kortelainen K., “Proceedings of the International Symposium on Practical Implementation of Clinical audit for Exposure to Radiation in Medical Practices”, Tampere, 24-27, 2003.
[7]  Spurgeon, A. H, “Does Improving Medical Record Documentation Better Reflect Severity of Illness in Neurosurgical Patients?” Retrieved March 05, 2012, from Clinical Neurosurgery, Volume 58, 2011.
[8]  IAEA-HHS4, “Human health series no. 4. Comprehensive clinical audits of diagnostic radiology practices: A tool for quality improvement”, Vienna: IAEA, 2010.
[9]  NSSA, “Annual statistical report for NSSA”, Research schemes planning department, Annals of NSSA, 2008.
[10]  Jumah, K. B. H, “Common faults in filling of radiological request forms”, East Afr Med J , Volume 72, 744-745, 1995.
[11]  Adebayo, S. B, “Multicentre assessment of radiology request form completion in sout west Nigeria”, Retrieved March 02, 2012, from, Nigerian Hospital Practice ISSN, 1597-7889. 2009.
[12]  Sibanda, L, “Quality assurance for clinical practice” Unpublished lecture notes for part iv radiography, NUST, 2009.
[13]  IAEA, “Justification of diagnostic medical exposures, some practical issues”, Report of an International Atomic Energy Agency (IAEA) Consultation, Vienna, 10-14 Nov. 2008, Vienna: IAEA, 2008.
[14]  Akinola, R. A, “Radiological request forms: are they adequeately filled by clinicians? Retrieved 07 24, 2011, from, The Internet Journal of Radiology: 2010.
[15]  ZMHCW, “Zimbabwe's National Health Strategy 2009-2013”, ZMHCW, 2009.
[16]  Smith, P. H, “Research Mindness for Practice”, Churchill Livingstone, 1997.
[17]  Decoursey, W. J, “Statistics and probability for engineering applications”, Woburn: Elsevier science, 2003.
[18]  Buchan, J and Dal Poz, M. R, “Skill mix in the health care workforce: reviewing the evidence”, Retrieved March 02, 2012, from, Bulletin of the World Health Organisation, 2002.
[19]  Bowling, A, “Research Methods in Health: Investigating health and health services”. New York: 3rd ed. McGraw.Hill. 2009.