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AJN, American Journal of Nursing, 2009
This is the third in a series of articles from Planetree, an international nonprofit organization founded in 1978 that's "committed to improving medical care from the patient's perspective." For more information, go to www.planetree.org.
Susan B, Frampton +2 more
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This is the third in a series of articles from Planetree, an international nonprofit organization founded in 1978 that's "committed to improving medical care from the patient's perspective." For more information, go to www.planetree.org.
Susan B, Frampton +2 more
openaire +2 more sources
The Validity of the Medical Record
Medical Care, 1981The medical record is the source of information for many purposes, including evaluation of the quality of care provided. Despite this reliance on the record, there have been few attempts to validate the recorded content against the verbal content of the interaction between patient and physician.
F J, Romm, S M, Putnam
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JAMA: The Journal of the American Medical Association, 1979
To the Editor.— I hope that the letter by David Jacknow, MD (241:2701, 1979), regarding his concern for the preservation of confidentiality of medical records will stimulate other physicians to speak publicly on this issue. He is concerned that if the Occupational Safety and Health Administration (OSHA) finalizes their proposed regulations permitting
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To the Editor.— I hope that the letter by David Jacknow, MD (241:2701, 1979), regarding his concern for the preservation of confidentiality of medical records will stimulate other physicians to speak publicly on this issue. He is concerned that if the Occupational Safety and Health Administration (OSHA) finalizes their proposed regulations permitting
openaire +4 more sources
Medical Care, 1971
While physicians acknowledge the importance of the medical record to both patient care and medical education, there is increasing awareness that the record along with our current system of processing medical information is seriously deficient. This paper attempts to document the type and extent of deficiencies in our current system of handling medical ...
H M, Tufo, J J, Speidel
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While physicians acknowledge the importance of the medical record to both patient care and medical education, there is increasing awareness that the record along with our current system of processing medical information is seriously deficient. This paper attempts to document the type and extent of deficiencies in our current system of handling medical ...
H M, Tufo, J J, Speidel
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Archives of Internal Medicine, 1982
To the Editor. —I am presenting my ideas on physician-physician and physician-patient interchange, concerning the transfer of records. Admittedly, these are personal opinions, but they do reflect those of many of my colleagues with whom I have discussed the issue.
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To the Editor. —I am presenting my ideas on physician-physician and physician-patient interchange, concerning the transfer of records. Admittedly, these are personal opinions, but they do reflect those of many of my colleagues with whom I have discussed the issue.
openaire +2 more sources
Exploitation of medical records
Medical Informatics, 1978The difficulties in fully exploiting correct and valid medical data held in a computer system are presented. The requirements for such a system to answer a physician's request are detailed and related to the clinical user, the computer interface and the technological interface, in particular that relating to adequate software.
M, de Heaulme, J, Anderson
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JAMA: The Journal of the American Medical Association, 1988
To the Editor.— In his article "Righting the Medical Record," 1 Dr Donnelly displays a common misunderstanding regarding the methods of the great bedside diagnosticians of the past. He states that "in the past, an accurate diagnosis of a host of maladies... depended heavily on painstaking inquiry and the construction of a...
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To the Editor.— In his article "Righting the Medical Record," 1 Dr Donnelly displays a common misunderstanding regarding the methods of the great bedside diagnosticians of the past. He states that "in the past, an accurate diagnosis of a host of maladies... depended heavily on painstaking inquiry and the construction of a...
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International Journal of Bio-Medical Computing, 1996
In this paper the results are presented from recent developments to increase the role of the HISCOM integrated hospital information system to support direct patient care. This process has resulted in an operational Electronic Obstetric Record System (EVS) and the introduction of a generic system (MDS) to document the medical care process starting in ...
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In this paper the results are presented from recent developments to increase the role of the HISCOM integrated hospital information system to support direct patient care. This process has resulted in an operational Electronic Obstetric Record System (EVS) and the introduction of a generic system (MDS) to document the medical care process starting in ...
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The Medical Record— A Dialogue?
JAMA: The Journal of the American Medical Association, 1984What is more personal than the right to live or the right to die? Isn't it ironic that our society, which champions individual human rights, now wants to legislate these rights? Yet modern science has blurred the borders of life and death. The right to live and the right to die have become ethical dilemmas.
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Prescription and medication records
British Journal of Nursing, 2005All nurses are required to keep contemporaneous records which are unambiguous and legible. The NMC has reprinted the UKCC guidelines for records and record keeping (UKCC, 1998). The Department of Health has provided advice in its guidance on the implementation of independent nurse prescribing on the standards for prescription writing (DH, 2002).
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