D'Sa S
Nurs Times. 1995;91(12):46-7.
An experimental system of multidisciplinary medical records was introduced in an elderly ward at St George's Hospital, London. The new-style notes improved multidisciplinary communication in goal-setting and care-planning and, by placing the record at the foot of the patient's bed, brought the focus of patient care to the patient's bedside. Major difficulties included duplication of paperwork, refiling after discharge and the matter of confidentiality. All the members of the multidisciplinary team were in favour of continuing the system, however, and recommended its use in other wards.
伦敦圣乔治医院的一个老年病房引入了一个多学科医疗记录实验系统。这种新式记录在目标设定和护理计划方面改善了多学科沟通,并且通过将记录放置在患者病床床尾,将患者护理的重点带到了患者床边。主要困难包括文书工作的重复、出院后的重新归档以及保密问题。然而,多学科团队的所有成员都赞成继续使用该系统,并建议在其他病房推广。