Table 1.

Direct and indirect factors contributing to misfiling in Goaso Municipal Hospital, 2009

Factors	Types	Issues
Direct	Shelving and space	New folders are too big for current filing space. Unavailability of space for OPD folders Using one folder for both outpatient and inpatient
	Staff	Staff indifference to filing folders Staff errors in filing
	Patient	Indiscriminate access to records office Patients attending hospital without ID cards leads to issuance of new folders Patients attending hospital with temporary NHIS cards with no folder numbers leads to issuance of new folders
	Logistic	Lack of computer for records keeping Inadequate number of ladders for rapid retrieval of folders
Indirect	OPD opening time	Staff non-compliance to opening hours leads to compromise of closing time. This leads to delays and long waiting time
	Records unit staff	Untrained support staff resulting in wrong indexing and filing
	Filing system	Lack of defined filing system; i.e., inpatients folders are filed according to months and the others differently