PubMed · 6604809
Problem orientated medical records.
Abstract
Problem orientated medical records will accommodate and integrate information about minor and major problems, allow rapid updating of information and better communication between health agencies and primary care team members. They will allow colleagues to retrieve information and assess patient problems, enable better co-ordination to occur between patient investigation and treatment, and rationalise decision making. In Part Two a method of medical recording is described using various coloured forms. Problems encountered and suggested solutions have been made. It is felt that the introduction of this method will lead to improved medical care for patients.
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S Bernstein. 1983. Problem orientated medical records.. https://doi.org/10.1136/jramc-129-02-02
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