Background: The completeness of medical records is key performance indicator that is relatedrnwith delivery of healthcare services in the hospital and assessed with minimum set of indictorsrnsuch as physician note, physician order sheet, Nursing care plan, medication administrationrnsheet, discharge summary, progress note and clinical pharmacist record form.rnObjective: The objective of the study was to enhance the completeness of inpatient medicalrnrecords from 22% to 60% in time period from Feb to June, 2018 at In-patient department ofrnKarat Primary Hospital, KonsoWoreda,SNNPRrnDesign: before-after interventional study was carried from Feb to June, 2018 using documentrnreview, observation, inpatient medical record review form and focus group discussions.rnSetting; Karat primary hospital, SNNPR, EthiopiarnParticipants: SMT, Medical director, matron and all IPD clinical staffs.rnResult: the overall completeness of medical records rose from 22% pre-intervention to 54%rnpost-intervention in in-patient department of Karat primary hospital from Feb to June, 2018 withrntotal budget of 25000.00 Ethiopian Birr.