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.
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.