Back ground: Globally, Medical recording service is a component of all health care system, rnas it is the entry point of the health service and one of the key areas to have quality service inrnthe health facilities. Clinical record documentation is one of the most basic professionalrnresponsibilities even if it is often poorly practiced. Record keeping and informationrnmanagement are the requirement for the provision of quality patient service. They arernessential for the patientâ€™s present and future healthcare decision making. The informationrncontained in the record is essential, but the process of documenting it is often considered arnlesser priority by many health institutions. rnObjective: The overall objective of the project is to improve completeness of inpatientrnmedical records from 65 % to 90% in Amdework primary hospital by the end of June,30,rn2019.rnMethod: A pre-post intervention study design was applied to improve inpatient medicalrnrecord completeness in Amdework Primary Hospital (APH) from January1-5,2019 for prernintervention period and from June1-5,2019 for post intervention period.Data was collectedrnusing structured audit tool and by simple random sampling technique a sample of 85 inpatientrnmedical record was taken out of all inpatient medical records in Amdework PrimaryrnHospital. The collected data was cleaned for its completeness and then entered into SPSSrnversion 20 software for analyses and Independent T-test was used for comparing pre and postrninterventions. rnResult rnThe intervention was associated with improving completeness of inpatient medical record. Atrnthe beginning of the project completeness of inpatient medical record in Amdework primaryrnHospital was 65%, after intervention completeness of inpatient medical record becamern93.6%.During post intervention from 85 inpatient cards the result shows that 97.6% hasrncomplete progress note, 97.6% has complete order sheet, 98.8% has complete medicationrnadministration record, 35.3% records has complete clinical pharmacist record and 100% hasrncomplete discharge summary. rn rn rn rnivrn rnConclusion rnThe overall completeness of inpatient medical record in Amdework primary Hospital afterrnintervention was 93.6% which have 28.6% improvement from the baseline assessment andrnthe higher rate of completeness was seen in discharge summary 100 % completed and thernleast completed was clinical pharmacist record 35.3 % completed. Although there isrnsignificant improvement in completeness of medical record completeness and clinicalrnpharmacist record still the objective is not achieved because the clinical pharmacist hiring isrnlate and still forgetting to dated and signed to the main card. So in order to meet thernobjective of the indicator continuous supervision of inpatient clinical staffs should be done.