Kramer D
CMAJ. 1996 Nov 15;155(10):1469-72.
During a recent workshop sponsored by the College of Physicians and Surgeons of Ontario, Dr. Paul Caulford identified the most common problems with medical records: they are much too brief, don't tell the patient's story and are missing important details. He warned that physicians must pay more attention to their records because "the way things are moving, the scrutiny of records in the past in nothing in comparison to what it will be like in the future."
在安大略省内科及外科医师学院最近举办的一次研讨会上，保罗·考尔福德博士指出了病历中最常见的问题：它们过于简略，没有讲述患者的情况，且缺少重要细节。他警告说，医生必须更加重视他们的病历，因为“照目前的发展趋势，过去对病历的审查与未来相比简直不值一提”。
