PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Medical Records, Problem-Oriented”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 127 records · Page 7Linked to original sources
PubMed1977

[Problem oriented pediatric record (author's transl)].

The object of this paper is the presentation of the problem griented medical record now in use at the Department of Pediatrics of the Faculty of Medicine of the University of Valencia. The main documents of this medical record (problem list, discharge summary, anamnesis and physical examination summary, and medical record summary) are given describing the characteristics of format and the rules for its completion. The relationships between the main documents are shown.

Child↗
PubMed1978

[Experience in creating an automated pathoanatomic archive in prosection at the A. N. Bakulev Institute of Cardiovascular Surgery of the Academy of Medical Sciences of the USSR].

An information system "Automatic pathological anatomy archive" has been created in the cardiac surgery center existing 22 years. A special card has been developed for resording of the results of morphological examinations and the main information on the patient, which is filled by the dissector after autopsy. Treatment of the data contained in the information mass stipulates an urgent search of the cases according to the set of data indicated in the request, interpretation of the content of unified cards for the selected cases, calculation of per cent ratios, etc. Realization of information systems in universal computers opens wide possibilities for principally new organization of pathological archives.

Archives↗
PubMed1978

Nursing in the USA.

Explore the source record for details and available documents.

Medical Records, Problem-Oriented↗
PubMed1978

Evaluation of Problem Oriented Treatment Planning in outpatient psychotherapy.

The paper presents systematic evaluation of a modified problem oriented medical record approach to treatment planning in outpatient psychotherapy. By comparison with a four year period prior to the institution of problem oriented treatment planning (POTP), data from a year in which POTP was used indicated a 50% reduction in patient drop out but no change in clinician rated condition of patients at termination. Findings of the report suggest an optimistic stance on the part of the clinician regarding accomplishment of goals in six weeks when patient and clinician are in agreement as to problem and goal even if the goal entails adjustment to psychological conflict. Contrary to authors' expectations staff acceptance of POTP was good.

Attitude of Health Personnel↗
PubMed1978

ROAP or SOAP?

Explore the source record for details and available documents.

Abbreviations as Topic↗
PubMed1978

Cystic fibrosis in Southern Africa. Including the preparation of a register of carriers and potential carriers.

Little has been published on cystic fibrosis (CF) in Whites in southern Africa, and no figures as to incidence exist. A register of CF patients, their parents (obligatory carriers), siblings, uncles, aunts and first cousins (potential carriers) has been compiled for southern Africa. The degree of co-operation shown by colleagues and by families whose addresses have been provided by them, and possible reasons for non-co-operation are discussed. From the numbers and birth dates of patients a rough estimate of the incidence in the Republic of South Africa, South West Africa and Rhodesia has been made. In all three regions, but especially in South Africa, incidence is likely to have been underestimated. Details available from the register include the number of CF patients alive and dead, those who presented with meconium ileus, the number of affected patients per family, consanguinity among the parents or grandparents, the frequency with which identical surnames were encountered, and the sibship sizes of all those on the register. Towns and districts with a population rich in the CF gene are mentioned. The number of potential carriers has been determined, so that they can be screened when a practicable detection test is devised. The register has answered a number of questions about CF in southern Africa. It has focused attention on the disease in the region and played a major catalytic role in the formation of the Southern African Cystic Fibrosis Association.

Child↗
PubMed1978

Information management in clinical practice.

Information management is essential for optimal delivery of health care services to individuals and the community. Current information techniques--largely dependent on the individual patient record--cannot effectively store, process, retrieve, and communicate the vast amount of data and information which is integral to the comprehensive health care process. Computerized techniques similar to those which are an indispensable part of almost all scientific, commercial, and administrative sectors of society are urgently needed to support a fully effective health care system.

Ambulatory Care↗