Computerized medical record in a private neurotology practice.
Am J Otol
; 21(4): 589-94, 2000 Jul.
Article
em En
| MEDLINE
| ID: mdl-10912707
ABSTRACT
OBJECTIVE:
To develop a computerized medical record for a private neurotology practice using a relational database with templates.BACKGROUND:
Computers have been used in the medicine many years for billing, scheduling appointments, and word processing. Neurotology represents a relatively narrow field of medicine, which is particularly suited to a computerized record. A computerized medical record should allow for better data storage and retrieval as well as better documentation of the patient care given.METHODS:
Using a commercially available, record-keeping software in a local area computer network. templates were developed for several common neurotologic problems. A template for a neurotologic examination was also developed. These were adapted from templates developed by a group otolaryngology practice in a neighboring city. Data entry templates for vestibular and audiologic tests were also developed. Implementation of the computerized record was accomplished in phases, allowing elimination of the paper record.RESULTS:
A fully computerized medical record has been developed and maintained in a private neurotology practice over the past year. Patient response to the computerized record system has been favorable. Office personnel have adapted well to a paperless record, and referring physicians have welcomed the documents generated by the computer.CONCLUSION:
Computerizing the medical records of a neurotology practice is possible and allows for improved documentation, ongoing assessment of treatment results, and improved efficiency among office staff.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
Problema de saúde:
1_sistemas_informacao_saude
Assunto principal:
Otolaringologia
/
Prática Privada
/
Automação de Escritório
/
Sistemas Computadorizados de Registros Médicos
/
Neurologia
Limite:
Humans
Idioma:
En
Revista:
Am J Otol
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Estados Unidos