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Assessment of clinical performance: gathering evidence

T J Wilkinson1

  • 1Christchurch School of Medicine and Health Sciences, University of Otago, New Zealand. tim.wilkinson@chmeds.ac.nz

Internal Medicine Journal
|August 24, 2007
PubMed

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Section...
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Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, subjective data is collected from the patient, their caregivers, or family members, and objective data is collected through observations and physical assessment. Patients are the primary source of subjective data. Thus information gathered from patients through interviews, observations, and physical examination is primary data. Secondary sources of data...
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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
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