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Items for "medical record"

Evaluation of Electronic Health Record Systems

Objectives: The objective of this article is to present an overview of the various considerations to be made prior to evaluating electronic health record (EHR) systems...

Keywords: Evaluation methodology, medical record, Health Informatics, electronic health record.

01/2006 | Methods of Information in Medicine, Schattauer
The Use of a Structured Form during Urology Out-patient Consultations A Randomised Controlled Trial

Objectives: To compare the completeness of documentation in the medical record using a structured form (SF) versus a traditional medical record (TMR). Methods: Randomised controlled trial comparing the use of SF and TMR in urology out-patient clinics for documentation of 15 items of clinical information, time taken to complete and acceptability to clinicians assessed by a self-completion questionnaire.in a teaching and district general hospitals. Results: Four hundred new urology patient consultations, 11 clinicians...

Keywords: medical record, structured form, documentation, audit, proforma, out-patient

01/2005 | Methods of Information in Medicine, Schattauer