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病例记录混乱:预防胜于治疗。

Case note chaos: prevention is better than cure.

作者信息

Hutchison S M

出版信息

Br Med J (Clin Res Ed). 1987 Mar 28;294(6575):813-4. doi: 10.1136/bmj.294.6575.813.

Abstract

The long term storage of hospital clinical records is becoming a big problem. A great reduction in the bulk of case notes can be achieved by compartmentalizing unstructured case notes. Such a system has many advantages for medical staff, and its widespread use would do much to alleviate storage problems in future years.

摘要

医院临床记录的长期存储正成为一个大问题。通过将非结构化的病历进行分类,可以大幅减少病历的数量。这样的系统对医务人员有很多优点,其广泛应用将在很大程度上缓解未来几年的存储问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc5c/1245869/f3aa86d87995/bmjcred00013-0028-a.jpg

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Notes: a suitable case for audit.
Postgrad Med J. 1993 Jul;69(813):578-80. doi: 10.1136/pgmj.69.813.578.

本文引用的文献

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Hospital clinical records.
Br Med J (Clin Res Ed). 1985 Sep 7;291(6496):614-5. doi: 10.1136/bmj.291.6496.614.
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Why keep hospital clinical records?
Br Med J (Clin Res Ed). 1985 Jan 26;290(6464):263-4. doi: 10.1136/bmj.290.6464.263.

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