Reviewing the Record: Medical Record Reviews for Medical Toxicology Research

The new Aberdeen medical record.

5 Practice Audit , Medical Record

or initials ____________________________ Abstraction time (min) _______________________Physician name ___________________________ion time (min) _______________________Physician name ___________________________ First visit with this MD? YES NO First visit to this clinic? YES NO

Active Semantic Electronic Medical Record

The healthcare industry is rapidly advancing towards the widespread use of electronic medical records systems to manage the increasingly large amount of patient data and reduce medical errors. In addition to patient data there is a large amount of data describing procedures, treatments, diagnoses, drugs, insurance plans, coverage, formularies and the relationships between these data sets. While...

Standards in medical record keeping.

Medical records serve many functions but their primary purpose is to support patient care. The RCP Health Informatics Unit (HIU) has found variability in the quality of records and discharge summaries in England and Wales. There is currently a major drive to computerise medical records across the NHS, but without improvement in the quality of paper records the full benefits of computerisation a...

Endoscopic electronic medical record systems.

The American Society for Gastrointestinal Endoscopy (ASGE) Technology Committee provides reviews of existing, new, or emerging endoscopic technologies that have an impact on the practice of GI endoscopy. Evidence-based methods are used, with a MEDLINE literature search to identify pertinent clinical studies on the topic and a MAUDE (Food and Drug Administration Center for Devices and Radiologic...