The use of structured, complaint-specific patient encounter forms in the emergency department.
To assess the effect of preprinted, structured, complaint-specific patient encounter forms on documentation, use of testing, and treatment compared with free-text record keeping.
Nonrandomized case-control trial.
University-affiliated, tertiary referral hospital emergency department.
The records of all patients with lacerations, pharyngitis, asthma, or isolated closed-head injury during an eight-month period were reviewed.
Use of structured complaint-specific patient encounter forms versus traditional free-text record keeping.
Main outcome measure
The null hypothesis was that there would be no differences in documentation, test use, or practice when the structured forms were used compared with free-text record keeping.
Mots-clés Pascal : Service hospitalier, Etats Unis, Amérique du Nord, Amérique, Urgence, Dossier médical, Homme, Evaluation, Texte, Questionnaire, Etude comparative
Mots-clés Pascal anglais : Hospital ward, United States, North America, America, Emergency, Medical record, Human, Evaluation, Text, Questionnaire, Comparative study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0480491
Code Inist : 002B30A04A. Création : 199406.