Results 11 to 20 of about 2,602,284 (275)
Quality assessment of medical record as a tool for clinical risk management: a three year experience of a teaching hospital Policlinico Umberto I, Rome [PDF]
Introduction: The medical record was defined by the Italian Ministry of Health in 1992 as "the information tool designed to record all relevant demographic and clinical information on a patient during a single hospitalization episode".
Bontempi, Claudio +15 more
core +1 more source
Gambaran Kelengkapan Dokumen Rekam Medis Pasien Rawat Inap
The study was conducted by doing the quantitative and qualitative analysis of the medical records document of inpatients in Semarang Hospital. The approach of the research was Retrospective approach.
Adhani Windari +2 more
doaj +1 more source
Medical records and record-keeping standards [PDF]
The structure of medical records becomes ever more critical with the advent of electronic records. The Health Informatics Unit (HIU) of the Royal College of Physicians has two work streams in this area. The Records Standards programme is developing generic standards for all entries into medical notes and standards for the content of admission, handover
Carpenter, G. Iain +3 more
openaire +3 more sources
Kaiser Permanente's experience of implementing an electronic medical record : a qualitative study [PDF]
The Commonwealth Fund of New York supported Tim Scott through a Harkness Fellowship. The Garfield Foundation provided funding for the data collection.Objective To examine users' attitudes to implementation of an electronic medical record system in Kaiser
Hsu, John +3 more
core +2 more sources
Background Cerebral palsy (CP) is a spectrum of non-progressive motor disorders caused by brain injury during fetal or postnatal periods. Current diagnosis of CP mainly relies on neuroimaging and motor assessment.
Yuanyuan Hu +7 more
doaj +1 more source
Analysis on the Incidence and Economic Burden of Patients with Lung Cancer
Background and objective The previous study has indicated that lung cancer has a high incidence and mortality in China, and has caused a large economic burden.
Guo TIAN, Li BIAN, Xiaoli XU, Shumei LI
doaj +1 more source
MEDICAL RECORDS CONFIDENTIALITY [PDF]
Laws defining the physician's duty of confidentiality vary from state to state. Legal and ethical requirements may not be the same for all specialties. Advances in information technology threaten the patient's right to medical records' privacy. Physicians must take the lead in preserving that right.
openaire +2 more sources
Integrated care and the working record [PDF]
By default, many discussions and specifications of electronic health records or integrated care records often conceptualize the record as a passive information repository.
Coiera E +7 more
core +1 more source
Does Presenting Patients’ BMI Increase Documentation of Obesity? [PDF]
Purpose: Despite the associated health consequences, obesity is infrequently documented as a problem in medical charts. The purpose of this study is to determine whether a simple intervention (routine listing of the BMI on the medical chart) will ...
Clothier MD, Norm +2 more
core +1 more source
Purpose: To describe the process development of a multimodal intervention and the pre- and postintervention results on the completeness of case records of patients with penetrating ocular trauma in a high-volume tertiary eye care hospital in south India.
Sanira Vaghmare +3 more
doaj +1 more source

