[Quality of discharge reports prepared by the services of internal medicine in Castilla-La Mancha (assessment of clinical data)]. / Calidad de los informes de alta de Castilla-La Mancha en los servicios de medicina interna (valoración de la información clínica).
An Med Interna
; 10(6): 280-2, 1993 Jun.
Article
en Es
| MEDLINE
| ID: mdl-8334205
We analyzed several aspects of the quality (at the level of clinical data) of discharge reports prepared by the Services of Internal Medicine in the hospitals of Castilla-La Mancha, taking into account that these are the end written products of the health care activity. We analyzed 800 reports and we found terms such as "probably, not discarded" in the clinical judgment in 150 reports out of 794 and abbreviations in 370 out of 792. 10.8% of the reports written at discharge (86 out of 794) were waiting for the results, reflecting thus severe shortcomings in the clinical data of these reports, that must be corrected in our area.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Alta del Paciente
/
Control de Calidad
/
Registros de Hospitales
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Es
Revista:
An Med Interna
Asunto de la revista:
MEDICINA INTERNA
Año:
1993
Tipo del documento:
Article
Pais de publicación:
España