The Use of a Structured Form during Urology Out-patient Consultations A Randomised Controlled Trial

Objectives: To compare the completeness of documentation in the medical record using a structured form (SF) versus a traditional medical record (TMR). Methods: Randomised controlled trial comparing the use of SF and TMR in urology out-patient clinics for documentation of 15 items of clinical informa...

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Veröffentlicht in:	Methods of information in medicine 2005, Vol.44 (5), p.609-615
Hauptverfasser:	Thomas, K, Emberton, M, Reeves, B
Format:	Artikel
Sprache:	eng
Schlagworte:	Ambulatory Care audit Documentation Documentation - standards Female Humans London Male Medical record Medical Records out-patient proforma Referral and Consultation structured form Urology
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