Browsing by Author "Samarawickrama, S."

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    Adequacy and relevance of medical records of patients admitted following Medico-legally significant trauma
    (College of Forensic Pathologists of Sri Lanka., 2020) Priyanath, D. C.; Dharmadasa, L.S.; de Silva, R.L.S.K.; Gunathilaka, M.M.A.C.C.; Nanayakkara, E.H.H.G.; Shakoor, M.S.; Samarawickrama, S.; Kitulwatte, I.D.G.; Edirisinghe, P.A.S.
    INTRODUCTION: Details mentioned in Bed head ticket (BHT) and investigations are taken into consideration when an opinion is made with regards to the medico legally significant trauma. Shortfalls of documents can lead to misdiagnosis or wrongful diagnosis. This study was conducted to find out the adequacy of records on BHTs and availability of investigations on patients who had been admitted following trauma with medico legal significance. METHODS: A prospective descriptive study was carried out on patents who were admitted following medico-legally significant trauma during a period of one year, from Aug 2017 to Aug 2018 by perusing their records. The adequacy of the documentation was assessed according to a pre-prepared scale. RESULTS: Analysis of on admission historical and preliminary details revealed that out of 1102 records, only 26% (n=286) had mentioned the time duration since the incident. Recorded cardiovascular stability on admission was above 86% (n=950) though level of consciousness was not mentioned by 19% (n=211). Nature of the injuries were correctly recorded by 65% (n=720) while the location of them were correctly recorded only by 29% (n=316). Surgical procedures were adequately mentioned only among 39% (n=425). CONCLUSIONS: The study revealed that there are gross inadequacies with regard to the records on BHTs made by the doctors. This can lead to limitations in addressing medico-legal issues and sometimes can result in wrong opinions leading to injustice. Need for continuous professional training with special attention to record keeping is highlighted. Further, the quality of records can be further improved with regular audits, continuous professional developmental activities and introducing a common format for documentation in admission, surgical procedures and investigations. KEYWORDS: Medico-legal issues, Medical record keeping, Adequacy, Investigations, BHT
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    Factors affecting on Lending Decisions of Microfinance Operation in Non-Banking Financial Institutions (NBFIs) in Sri Lanka
    (Faculty of Commerce and Management Studies, University of Kelaniya, Sri Lanka, 2016) Samarawickrama, S.; Thrikawala, S.
    This study investigates the factors that affect the lending decisions of microfinance operation in the Non-Banking Financial Institutions (NBFIs) in Sri Lanka. Microfinance sector of the country can be identified as an important sub-sector of the financial system. NBFIs operating in the micro-finance sector in Sri Lanka provide loan facilities for people who cannot obtain those facilities from formal banking system in Sri Lanka. Based on the people’s needs and expectations microfinance sector can be developed as a lucrative business while maintaining an effective financial and economic stability in the country. Many studies have showed that the lending organizations have been encountered with severe difficulties when recovering microfinance loans and facilities provided for the individuals and small groups. Therefore, studying such factors are highly important since they are directly related with the effective credit management by NBFIs. In the current study primary data will be collected from the credit managers of five NBFIs. Secondary data also collected from the sources like Central Bank Annual Reports and Company publications. The quantitative and qualitative techniques will be deployed when analyzing and interpreting data. SPSS statistical software has been deployed to analyze and interpret data that produce generalizations for the population. This research provides insight for the NBFIs and policy-makers in the financial system of Sri Lanka regarding factors that impact the lending decisions of microfinance operations in Sri Lanka.