Introduction: It is very important to use fundamental of total quality management in medical record department as a part of hospitals which their action has a tremendous affect on performance, evaluation, and upgrading the quality and quantity of health care activities in hospitals. The research were done with the idea of measurement of the rate of applying fundamental of total quality management in medical record departments of Iran University of Medical Sciences' teaching hospitals to report suggestions for upgrading the department performance.

Methods: This is a descriptive cross- sectional study were done in 2004. The study population is all personnel of medical record departments of Iran University of Medical Sciences' teaching hospitals and data were collected by a questionnaire and were analyzed by SPSS. Results: Our findings showed that in medical record departments of Iran University of Medical Sciences' teaching hospitals only the concept of" raise and reward "was worst between the nine sections of total quality management.

Conclusions: According to the out coming results, it is clear that some activities must been arranged to improve group and personal participation, training workshops periodically, collection, analyzed, and evaluation of customers' point of view and redesign different medical record department.