Information recording and retrieval in patient records is expensive, painful, and inadequate. Automated hospital systems will undoubtedly provide solutions to these problems, but those solutions are costly and years away. From a practical standpoint, records can be improved today using problem-oriented approaches to patient care and new formats for both subjective and objective information. These points are discussed, and examples of a clinical laboratory data sheet and an intensive care unit record are presented and compared with current procedures at one Boston hospital.
|Original language||English (US)|
|Number of pages||9|
|State||Published - 1972|
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health