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[An intervention program to improve the quality of the medical records in an Internal Medicine Department].

Authors
  • Wikman, A1
  • Safont, P
  • Merino, J
  • Martínez Baltanás, A
  • Matarranz Del Amo, M
  • López Calleja, E
  • 1 Servicio de Medicina Interna, Hospital Universitario de San Juan, Alicante, España.
Type
Published Article
Journal
Revista clinica espanola
Publication Date
Sep 01, 2009
Volume
209
Issue
8
Pages
391–395
Identifiers
PMID: 19775588
Source
Medline
License
Unknown

Abstract

Weak points were detected in the baseline analysis (described) and after the interventions. There was an improvement in almost all the items, this being very significant in the recording of allergies and habits. The global score also improved significantly. CONCLUSION. The study has allowed us to learn our weak points in the elaboration of the medical records. We have improved their quality with the interventions. We estimate that this intervention has also been useful for the training of internal medicine physicians, residents and students.

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