The electronic medical record in clinical care

W. J. Nowack, M. Niccolai
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引用次数: 4

Abstract

A patient's medical record contains a large amount of data, which currently is stored in a paper hard copy. This limits its usability and availability in a particular instance of care. Much of the effort in computerizing the medical record has been driven by financial and quality assurance concerns and constraints placed on the data have often derived from the technical limitations of available systems. The requirements for records to be used in clinical care may differ from the priorities currently followed in the medical record.
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电子病历在临床护理中的应用
病人的医疗记录包含大量数据,这些数据目前存储在纸质硬拷贝中。这限制了它在特定护理实例中的可用性和可用性。医疗记录计算机化的大部分努力都是出于财务和质量保证方面的考虑,而对数据的限制往往源于现有系统的技术限制。在临床护理中使用的记录的要求可能与目前在医疗记录中遵循的优先级不同。
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